Individual provider · Type 1 NPI

Leah M. Vergara, PA-C

Surgical Physician Assistant · Fountain Valley, CA

NPI number 1053720359 Active

Practice location

11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055

Fax (714) 850-7310

Mailing address

PO Box 15848
Newport Beach, CA 92659-5848

Other practice locations

  • 3828 Schaufele Ave Ste 320, Long Beach, CA 90808-1793 · (562) 348-4588
  • 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 · (562) 633-3787

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X51680 (CA)
Surgical Physician Assistant Primary 363AS0400X51680 (CA)

Surgical Physician Assistant: Definition to come...

11 other providers at this address

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About NPI 1053720359

Leah M. Vergara, PA-C's National Provider Identifier is 1053720359, issued on Aug 12, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fountain Valley, CA. The record was last updated on Sep 10, 2019.