Vivanco, Ivan

Vivanco, Ivan is an individual health care provider with primary practice located at 21000 Plummer St , Chatsworth CA 91311-4903. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Vivanco, Ivan can be contacted via phone (661) 348-5492.

Contact Information

Primary practice address
21000 Plummer St Chatsworth CA 91311-4903
Phone: (661) 348-5492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1700423712
LBN Legal business name Vivanco, Ivan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2019
Last updated Dec 9th, 2019 - about 5 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.

Request for update

Popular Providers