Pacold, Vivien

Pacold, Vivien is an sole proprietor health care provider with primary practice located at 68100 Ramon Rd C-5, Cathedral City CA 92234-3387. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Pacold, Vivien can be contacted via phone (760) 321-6068.

Contact Information

Primary practice address
68100 Ramon Rd C-5 Cathedral City CA 92234-3387
Phone: (760) 321-6068
Fax: (760) 770-6789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A52805 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A52805 California

Profile Details

NPI number 1003841917
LBN Legal business name Pacold, Vivien
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jan 5th, 2012 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003841917 NPPES
California MEDICAID 00A5280501

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