Healthcare Provider Details

I. General information

NPI: 1255833604
Provider Name (Legal Business Name): LUZ R ARGUETA-VOGEL LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2018
Last Update Date: 03/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 12TH ST
RICHMOND CA
94801-3527
US

IV. Provider business mailing address

129 12TH ST
RICHMOND CA
94801-3527
US

V. Phone/Fax

Practice location:
  • Phone: 510-882-5915
  • Fax:
Mailing address:
  • Phone: 510-882-5915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM514
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: