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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1841749298 | NPPES |
| California | Other | 7929A | MEDI-CAL |
| California | Other | 1930A | MEDI-CAL |
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