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Contact Information

MIGUEL VASQUEZ MD ANN CARROLL MD A PROF CORP
243 GREEN VALLEY RD
SUITE A
FREEDOM, CA95019
 Phone: 831-728-4595
 Fax: 831-728-4598
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIGUEL VASQUEZ MD ANN CARROLL MD A PROF CORP · (Female)

NPI Number 1629136965
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A33076
  • CA License # G38080
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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