Vazquez, Martin

Vazquez, Martin is an individual health care provider with primary practice located at 17707 Studebaker Rd , Cerritos CA 90703-2640. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Vazquez, Martin can be contacted via phone (562) 402-0688.

Contact Information

Primary practice address
17707 Studebaker Rd Cerritos CA 90703-2640
Phone: (562) 402-0688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1841749298
LBN Legal business name Vazquez, Martin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2016
Last updated Jun 27th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841749298 NPPES
California Other 7929A MEDI-CAL
California Other 1930A MEDI-CAL

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