Individual provider · Type 1 NPI

Maribel Vergara, MEDICAL ASSISTANT

Medical Physician Assistant · San Diego, CA

NPI number 1184808719 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Mailing address

1304 Oro Vista Rd Apt 201
San Diego, CA 92154-5110

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1184808719

Maribel Vergara, MEDICAL ASSISTANT's National Provider Identifier is 1184808719, issued on Dec 18, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Dec 19, 2007.