Dr. Orie Thomas Vaughn
Primary Podiatric Medicine
111 N La Brea Ave Suite 301
Inglewood
, California 90301-1752
Dr. Orie Thomas Vaughn
Primary Podiatric Medicine
111 N La Brea Ave Suite 301
Inglewood
, California 90301-1752
(310) 419-1060
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Orie Thomas Vaughn
- Po Box 91379
- Los Angeles, CA
- Zip : 90009-1379
- Phone : (310) 419-1060
Second Address
- Dr. Orie Thomas Vaughn
- 111 N La Brea Ave Suite 301
- Inglewood, CA
- Zip : 90301-1752
- Fax : (310) 412-3079
- Phone : (310) 419-1060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | E2187 | CA |
National Provider Identifier
| NPI | 1568483014 |
|---|---|
| Provider Name | Dr. Orie Thomas Vaughn |
| First Address | Los Angeles, CA 90009-1379 |
| Second Address | Inglewood, CA 90301-1752 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000E21870 | (05) | CA |
| AV7602116 | DEA # (01) | CA |
| T11219 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.