Vanessa Gavin-Headen, MD
Family Medicine in Harbor City, CA. Individual provider (NPI-1).
NPI number1043379639
StatusActive
Last updated in NPPESDec 2, 2021
Details
- NPI
- 1043379639
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Gavin-Headen
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2006
- Last updated
- Dec 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A61486 | CA | Yes |
Practice location
25825 Vermont AveHarbor City, CA 90710-3518
Phone 310-325-5111
Mailing address
25825 Vermont AveHarbor City, CA 90710-3518
Phone 310-325-5111
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