Doctor Name: | MRS. CHRISTINA VEGA |
NPI Number: | 1093148868 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 23024 |
Business Practice Address: | 20103 Lake Chabot Rd Castro Valley, CA - 945465305 |
Business Phone Number: | 5107273038 |
Business Fax Number: | |
Mailing Address: | 10791 Inspiration Cir, DUBLIN |
State: | CA |
Postal Code: | 945685556 |
Phone Number: | 9252151626 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2013 |
NPI Last Update Date: | 08/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 23024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |