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General NPI Number Information
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NPI Number | 1417818642
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Entity Type | Organization
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Legal Business Name | DR MICHAEL VEGA, INC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1217 W WHITTIER BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-4642
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Country | US
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Telephone | 323-728-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 1577 LAS PALOMAS DR
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City | LA HABRA HEIGHTS
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State | CA
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Zip | 90631-8007
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Country | US
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Telephone | 562-713-5200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL R VEGA
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Credential | DPM
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Telephone | 562-713-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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