Julio Vasquez Medical Clinic | |
8540 Reseda Blvd Suite 240 Northridge CA 91324-6142 | |
(818) 772-7023 | |
(818) 772-7020 |
Full Name | Julio Vasquez Medical Clinic |
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Speciality | Family Medicine |
Location | 8540 Reseda Blvd, Northridge, California |
Authorized Official Name and Position | Julio N Vasquez (PRESIDENT) |
Authorized Official Contact | 8187727023 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Julio Vasquez Medical Clinic 8540 Reseda Blvd Suite 240 Northridge CA 91324-6142 Ph: (818) 772-7023 | Julio Vasquez Medical Clinic 8540 Reseda Blvd Suite 240 Northridge CA 91324-6142 Ph: (818) 772-7023 |
NPI Number | 1467612820 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 05/14/2024 |
Medicare PECOS PAC ID | 8123175155 |
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Medicare Enrollment ID | O20090409000103 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467612820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A45461 (California) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
Provider Name | Julio N Vasquez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1639262561 PECOS PAC ID: 6709946775 Enrollment ID: I20090408000525 |
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