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Contact Information

PETA VAUGHAN, A.S
535 W. 4TH STREET APT. 201
LONG BEACH, CA90802
 Phone: 805-905-1785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for PETA VAUGHAN · (Female)

NPI # 1982076287
Status Active
Credentials A.S
Entity Individual
Enumeration date 10/26/2015
Last updated 10/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 10099
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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