Search › California › 207RG0100X
Vivy Cusumano
NPI 1639600638 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1223 16th St Ste 3100
Santa Monica, CA 90404 - Phone
- (310) 582-6240
- Organisation at this address
- Regents Of The Univ Of California
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 50
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-01
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