Vicencio, Jan Raymond

Vicencio, Jan Raymond is an sole proprietor health care provider with primary practice located at 2901 W Coast Hwy Suite 200, Newport Beach CA 92663-4023. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Vicencio, Jan Raymond can be contacted via phone (562) 229-4813.

Contact Information

Primary practice address
2901 W Coast Hwy Suite 200 Newport Beach CA 92663-4023
Phone: (562) 229-4813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95003057 California

Profile Details

NPI number 1295109304
LBN Legal business name Vicencio, Jan Raymond
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2015
Last updated Feb 2nd, 2016 - about 8 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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