Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MIRKKO GALDO VASQUEZ
Active Sole Proprietor2471V0105X · VALENCIA, CA
Registration Details
- NPI Number
- 1396219168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2019 (7.2666390527227 yrs)
- Last Updated
- Jan 23, 2019
- License
-
134184 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25000 AVENUE STANFORD STE 171VALENCIA, CA, 913551224Browse CA providers · Browse ZIP 91355
- Phone
- 7866830083
- Primary Specialty
-
2471V0105X
2471V0105X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.