Provider Demographics
NPI:1881181972
Name:VARGAS, BRITTANEY BICH-HANH KHONG (MD)
Entity type:Individual
Prefix:DR
First Name:BRITTANEY
Middle Name:BICH-HANH KHONG
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRITTANEY
Other - Middle Name:BICH-HANH
Other - Last Name:KHONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 387
Mailing Address - Street 2:
Mailing Address - City:MAMMOTH LAKES
Mailing Address - State:CA
Mailing Address - Zip Code:93546-0004
Mailing Address - Country:US
Mailing Address - Phone:951-394-1509
Mailing Address - Fax:
Practice Address - Street 1:85 SIERRA PARK RD
Practice Address - Street 2:
Practice Address - City:MAMMOTH LAKES
Practice Address - State:CA
Practice Address - Zip Code:93546-2073
Practice Address - Country:US
Practice Address - Phone:760-934-3311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA163518207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program