Vazquez, Walter David

Vazquez, Walter David is an individual health care provider with primary practice located at 34800 Bob Wilson Dr Pediatric Surgery Clinic, San Diego CA 92134-1098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Vazquez, Walter David can be contacted via phone (619) 532-5953.

Contact Information

Primary practice address
34800 Bob Wilson Dr Pediatric Surgery Clinic San Diego CA 92134-1098
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X G83488 California

Profile Details

NPI number 1619949476
LBN Legal business name Vazquez, Walter David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Nov 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619949476 NPPES
California MEDICAID 00G834880

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