Healthcare Provider Details

I. General information

NPI: 1740205715
Provider Name (Legal Business Name): MICHAEL ROBLES VEGA D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13132 STUDEBAKER RD STE A
NORWALK CA
90650-2573
US

IV. Provider business mailing address

1577 LAS PALOMAS DR
LA HABRA HEIGHTS CA
90631-8007
US

V. Phone/Fax

Practice location:
  • Phone: 562-888-5944
  • Fax: 562-888-5945
Mailing address:
  • Phone: 562-713-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE2960
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE2960
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: