Vergara, Rafael

Vergara, Rafael is an individual health care provider with primary practice located at 17762 Beach Blvd Suite 220, Huntington Beach CA 92647-6860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vergara, Rafael can be contacted via phone (714) 848-0080.

Contact Information

Primary practice address
17762 Beach Blvd Suite 220 Huntington Beach CA 92647-6860
Phone: (714) 848-0080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A52192 California

Profile Details

NPI number 1932259389
LBN Legal business name Vergara, Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Nov 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932259389 NPPES
California MEDICAID 00A521920

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