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
Phone: (619) 532-5953
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619949476 | NPPES |
California | MEDICAID | 00G834880 |
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