Michael Vicioso, PNP

NPI 1932449642 · on the registry since 2013 · sole proprietor

Practice

Address: 3835 E 7th St
Long Beach, CA 90804
Phone: (562) 473-4441
Fax: (562) 473-4447
Organisation at this address: Growing Healthy Together Inc., A Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-02-10

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