Healthcare Provider Details

I. General information

NPI: 1487874970
Provider Name (Legal Business Name): CARL VOGEL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PENNSYLVANIA AVE SE STE LL1
WASHINGTON DC
20003-6414
US

IV. Provider business mailing address

1012 14TH ST NW STE 700
WASHINGTON DC
20005-3477
US

V. Phone/Fax

Practice location:
  • Phone: 202-630-8178
  • Fax: 202-638-0749
Mailing address:
  • Phone: 771-245-2140
  • Fax: 302-231-0734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VINCENT JOSEPH LOPEZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 771-245-2140