Mo, Vivian
Mo, Vivian is an sole proprietor health care provider with primary practice located at 1520 San Pablo St Suite 1000, Los Angeles CA 90033-5310. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Mo, Vivian can be contacted via phone (323) 442-6130.Contact Information
Primary practice address
1520 San Pablo St Suite 1000
Los Angeles CA 90033-5310
Phone: (323) 442-6130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | L6530 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD19224 | Rhode Island |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L6530 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A100505 | California |
Profile Details
| NPI number | 1639196363 |
|---|---|
| LBN Legal business name | Mo, Vivian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639196363 | NPPES |
| California | Other | GR0100430 | GROUP MEDICAL |
| California | Other | W18762 | GROUP MEDICAL |
| California | Other | 1902846306 | GROUP MEDICAL |
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