Dr. Ebonie Michele Vazquez, MD
Dr. Ebonie Michele Vazquez, MD is a Psychiatry in Culver City, California. Qualified in 2007, 19 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 19
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone: (310) 390-6612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence A104737 (CA) |
|---|
Record details
| NPI number | 1558562660 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 29, 2007 |
| Last updated in NPPES | December 14, 2021 |
| Certification date | December 14, 2021 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Culver City
-
Kelli Stager
6167 Bristol Pkwy Ste 260, Culver City, CA 90230-6616 · (424) 331-5604
-
Michael H Tolwin, MD
5000 Overland Ave Ste 108, Culver City, CA 90230-4969 · (310) 280-9670
-
Tolwin Psychiatric Medical Group Inc
5000 Overland Ave Ste 108, Culver City, CA 90230-4969 · (310) 280-9670
-
Robert M Trichter, MD
3831 Hughes Ave #506, Culver City, CA 90232-2751 · (310) 280-9670