Violeta Vicencio, MD

NPI 1679699193 · on the registry since 2007 · sole proprietor

Practice

Address: 1075 E Pacific Coast Hwy Ste D
Long Beach, CA 90806
Phone: (562) 676-4596
Fax: (562) 676-4598
Organisation at this address: Suzan Khajavi Dds, Inc
Quiclinics Medical Partners
Renal Treatment Centers California Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-03-30

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