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Contact Information

BRYAN VASQUEZ, CATC III
4540 CAMPUS DR
SUITE #113
NEWPORT BEACH, CA92660
 Phone: 714-800-3199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for BRYAN VASQUEZ · (Male)

NPI # 1205362365
Status Active
Credentials CATC III
Entity Individual
Enumeration date 05/11/2017
Last updated 06/18/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 1911397-III
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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