Individual provider · Type 1 NPI
Lucia De la Vega
Gerontology Nurse Practitioner · Orange, CA
NPI number
1487379004
Active
Practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
17352 Glasgow Cir
Yorba Linda, CA 92886-3811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95021709 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1487379004
Lucia De la Vega's National Provider Identifier is 1487379004, issued on Oct 6, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Orange, CA. The record was last updated on Oct 28, 2025.