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Search › California › 363LA2200X

Jan Vicencio, N.P

NPI 1295109304 · on the registry since 2015 · sole proprietor

Practice

Address
2901 W Coast Hwy
Suite 200
Newport Beach, CA 92663
Phone
(562) 229-4813
Organisation at this address
Josbat Medical Ca
Wearable Health Solutions Inc
Crescent Moon Recovery Newport Beach
South Bay Behavioral Health Virtual, Inc.
Newport Harbor Pathology Medical Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California