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NPI Code Detail

MEDICARE: ISABEK VAZQUEZ

MEDICARE: ISABEK VAZQUEZ
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
1171400000XHealth & Wellness CoachCA

General Provider Information

NPI Number : 1477416568
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABEK VAZQUEZ
Provider Business Mailing Address
First Line : 11362 BISCAYNE BLVD
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92841-1705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3 POINTE DR STE 305
Second Line :
City : BREA
State : CA
Zip : 92821-7604
Country : US
Telephone Number : 562-888-6484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ ISABEK VAZQUEZ ” 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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