Dr. Walter David Vazquez
Pediatric Surgery
34800 Bob Wilson Dr Pediatric Surgery Clinic
San Diego
, California 92134-1098
Dr. Walter David Vazquez
Pediatric Surgery
34800 Bob Wilson Dr Pediatric Surgery Clinic
San Diego
, California 92134-1098
(619) 795-0988
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Walter David Vazquez
- 877 Island Ave #416
- San Diego, CA
- Zip : 92101-7116
- Phone : (619) 795-0988
Second Address
- Dr. Walter David Vazquez
- 34800 Bob Wilson Dr Pediatric Surgery Clinic
- San Diego, CA
- Zip : 92134-1098
- Phone : (619) 532-5953
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | G83488 | CA |
National Provider Identifier
| NPI | 1619949476 |
|---|---|
| Provider Name | Dr. Walter David Vazquez |
| First Address | San Diego, CA 92101-7116 |
| Second Address | San Diego, CA 92134-1098 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2006 |
| Last Update Date | 29/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G834880 | (05) | 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.