Vigil, Carlos R

Vigil, Carlos R is an individual health care provider with primary practice located at 7974 Haven Ave Suite 210, Rancho Cucamonga CA 91730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vigil, Carlos R can be contacted via phone (909) 941-0661.

Contact Information

Primary practice address
7974 Haven Ave Suite 210 Rancho Cucamonga CA 91730
Phone: (909) 941-0661
Fax: (909) 948-5577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A7446 California

Profile Details

NPI number 1366494015
LBN Legal business name Vigil, Carlos R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366494015 NPPES
California MEDICAID 00AX74460

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