| Doctor Name: | MS. IRENE E. VEGA |
| NPI Number: | 1003077793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, PHN |
| License Number: | RN182833 |
| Business Practice Address: | 2191 Johnson Ave San Luis Obispo, CA - 934014534 |
| Business Phone Number: | 8057815535 |
| Business Fax Number: | 8057811372 |
| Mailing Address: | 2623 Brentwood Cir, ARROYO GRANDE |
| State: | CA |
| Postal Code: | 934206505 |
| Phone Number: | 8057815535 |
| Fax Number: | 8057811372 |
| NPI Enumeration Date: | 06/24/2008 |
| NPI Last Update Date: | 06/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | RN182833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |