Vazquez, Ebonie Michele

Vazquez, Ebonie Michele is an individual health care provider with primary practice located at 4760 Sepulveda Blvd , Culver City CA 90230-4820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Vazquez, Ebonie Michele can be contacted via phone (310) 390-6612.

Contact Information

Primary practice address
4760 Sepulveda Blvd Culver City CA 90230-4820
Phone: (310) 390-6612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A104737 California

Profile Details

NPI number 1558562660
LBN Legal business name Vazquez, Ebonie Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Dec 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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