LEO VASQUEZAWAREZ


Address: 470 E 3rd St # Ab, Los Angeles, CA 90013-1629
Phone: 2136266411

LEO VASQUEZAWAREZ (NPI# 1578179941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578179941
Entity Type Individual
Full Name LEO VASQUEZAWAREZ
Practice Address 470 E 3rd St # Ab
Los Angeles
CA 90013-1629
Practice Telephone 2136266411
Mailing Telephone 2136266411
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 470 E 3RD ST # AB
City LOS ANGELES
State CA
Zip Code 90013-1629

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1508481201 Jeanine Ingram Counselor 3815 Lockland Dr, Los Angeles, CA 90008-3533 2020-06-09
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Competitor

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City LOS ANGELES
Zip Code 90013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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