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NPI Code Detail

MEDICARE: SONIA B VASQUEZ

MEDICARE:   SONIA B VASQUEZ
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
1171M00000XCase Manager/Care Coordinator
2172V00000XCommunity Health Worker
3175T00000XPeer SpecialistMPSS-EWBZVHCA

General Provider Information

NPI Number : 1871039511
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA B VASQUEZ
Provider Business Mailing Address
First Line : 225 CABRILLO HWY S STE 200A
Second Line :
City : HALF MOON BAY
State : CA
Zip : 94019-7210
Country : US
Telephone Number : 650-573-3947
Fax Number :
Provider Business Practice Location Address
First Line : 225 CABRILLO HWY S STE 200A
Second Line :
City : HALF MOON BAY
State : CA
Zip : 94019-7210
Country : US
Telephone Number : 650-576-3947
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2017
Last Update Date : 04/25/2023

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Directions to “ SONIA B VASQUEZ ” Practice Location

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