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NPI Code Detail

MEDICARE: DAMI TRACY VASQUEZ

MEDICARE: DAMI TRACY VASQUEZ
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
1106S00000XBehavior TechnicianRBT-18-54604CA
2103K00000XBehavior AnalystCA

General Provider Information

NPI Number : 1427547603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMI TRACY VASQUEZ
Provider Business Mailing Address
First Line : 4221 WILSHIRE BLVD STE 300A
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-3537
Country : US
Telephone Number : 888-428-3223
Fax Number : 323-866-1881
Provider Business Practice Location Address
First Line : 100 S ANAHEIM BLVD STE 340
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3877
Country : US
Telephone Number : 888-428-3223
Fax Number : 323-866-1881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2018
Last Update Date : 12/04/2024

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Directions to “ DAMI TRACY VASQUEZ ” Practice Location

Language Start Address Practice Location
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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