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General NPI Number Information
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NPI Number | 1922505775
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Entity Type | Individual
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Provider Name | CHRISTOPHER B VARGAS PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 2452 FENTON ST STE C203
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City | CHULA VISTA
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State | CA
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Zip | 91914-3599
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Country | US
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Telephone | 619-600-5309
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Fax | 619-655-4700
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Provider Business Mailing Address
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Address Line | PO BOX 210160
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City | CHULA VISTA
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State | CA
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Zip | 91921-0160
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Country | US
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Telephone | 619-600-5309
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Fax | 619-655-4700
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 55263
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License Number State | CA
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