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Contact Information

GUSTAVO A VARGAS, RDA
11054 PASO ROBLES AVE
GRANADA HILLS, CA91344
 Phone: 818-470-9203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for GUSTAVO A VARGAS · (Male)

NPI # 1669609574
Status Active
Credentials RDA
Entity Individual
Enumeration date 06/18/2009
Last updated 06/18/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 63428
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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