Provider Demographics
NPI:1225474133
Name:VARGAS, ROSE CATHERINE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ROSE
Middle Name:CATHERINE
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:CATHERINE
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:4733 W SUNSET BLVD FL 3
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2531 CHESTER AVE FL 2
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2012
Practice Address - Country:US
Practice Address - Phone:877-524-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF135121208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery