Most Relevant Information
Provider Data
| NPI Number: | 1003215609 |
| Provider Name: | IVONNE TOVAR-VARGAS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2014 |
| Last Updated: | 12/27/2017 |
Provider Practice Location
4283 EL CAJON BLVD STE 115
SAN DIEGO
CA
921051289
Practice Location Phone/Fax
| Phone: | 3237167310 |
| Fax: |
Provider Mailing Location
4283 EL CAJON BLVD STE 115
SAN DIEGO
CA
921051289
Provider Mailing Phone/Fax
| Phone: | 6195211743 |
| Fax: |