Search › California › 225400000X
Ivan Vivanco
NPI 1700423712 · on the registry since 2019
Practice
- Address
- 21000 Plummer St
Chatsworth, CA 91311 - Phone
- (661) 348-5492
- Organisation at this address
- Earl Petrus Md Inc
Child And Family Guidance Center
Rancho San Antonio Boys Home Inc.
Rancho San Antonio Boys Home Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 99
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Sex
- Male
- Record last updated
- 2019-12-09
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