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NPI Code Detail

MEDICARE: VANESSA VEGA

MEDICARE: VANESSA VEGA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1245508829
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA VEGA
Provider Business Mailing Address
First Line : 2670 HAYES AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3003
Country : US
Telephone Number : 562-304-0512
Fax Number :
Provider Business Practice Location Address
First Line : 2670 HAYES AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3003
Country : US
Telephone Number : 562-304-0512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2011
Last Update Date : 12/09/2011

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Directions to “ VANESSA VEGA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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