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NPI Code Detail

MEDICARE: GUADALUPE VARGAS

MEDICARE: GUADALUPE 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
1101YM0800XMental Health CounselorCA
2171400000XHealth & Wellness CoachCA

General Provider Information

NPI Number : 1710521794
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUADALUPE VARGAS
Provider Business Mailing Address
First Line : 14206 GALVIN CT
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-3997
Country : US
Telephone Number : 714-392-9338
Fax Number :
Provider Business Practice Location Address
First Line : 1901 E 4TH ST STE 350
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3908
Country : US
Telephone Number : 657-219-0283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2019
Last Update Date : 02/02/2026

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Directions to “ GUADALUPE VARGAS ” Practice Location

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