Provider Demographics
NPI:1891553293
Name:VASQUEZ, YARELI C
Entity type:Individual
Prefix:
First Name:YARELI
Middle Name:C
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6345 EL CAJON BLVD UNIT 3407
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-5574
Mailing Address - Country:US
Mailing Address - Phone:805-625-4260
Mailing Address - Fax:
Practice Address - Street 1:5555 DEL MAR HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-1368
Practice Address - Country:US
Practice Address - Phone:858-523-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program