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NPI Code Detail

MEDICARE: DIANA VARGAS

MEDICARE: DIANA VARGAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95024443CA

General Provider Information

NPI Number : 1437851953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA VARGAS
Provider Business Mailing Address
First Line : 11228 DRONFIELD AVE
Second Line :
City : PACOIMA
State : CA
Zip : 91331-1424
Country : US
Telephone Number : 818-714-9573
Fax Number :
Provider Business Practice Location Address
First Line : 9140 VAN NUYS BLVD
Second Line :
City : PANORAMA CITY
State : CA
Zip : 91402-6727
Country : US
Telephone Number : 818-830-7181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 03/20/2023

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Directions to “ DIANA VARGAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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