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Victoria Vasco, FNP
General Practice Physician in Gardena, California
NPI 1477274215

Victoria Vasco is a General Practice Physician based in Burbank, CA. Victoria Vasco practices in Gardena, CA and has the professional credentials of FNP. The NPI Number for Victoria Vasco is 1477274215 and holds a License No. 95020466 (California).

The current practice location address for Victoria Vasco is 15519 Crenshaw Blvd, Gardena, CA and can be reached out via phone at 310-679-2880.

Location: 15519 Crenshaw Blvd, Gardena, CA, 91506-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477274215
Provider Name
Victoria Vasco
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
15519 Crenshaw Blvd, Gardena, CA, 91506-2018
Phone Number
310-679-2880
Fax Number
Provider Enumeration Date
09/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15519 Crenshaw Blvd
City
Gardena
State
California
Zip
90249-4525
Phone Number
310-679-2880
Fax Number
person
Provider Business Mailing Address Details
Address
15519 Crenshaw Blvd
City
Gardena
State
California
Zip
90249-4525
Phone Number
310-679-2880
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
95020466 (California)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
95020466 (California)
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
95020466 (California)
Definition
Definition to come...
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