Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER L VIVANCO, RPT
Active Sole ProprietorMS. JENNIFER L VIVANCO, RPT is a Specialist healthcare provider located in PORTER RANCH, California. NPI 1982767596 is currently active in the NPPES registry. Verify at CMS.
Specialist · PORTER RANCH, CA
Registration Details
- NPI Number
- 1982767596
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2006 (19.612872649139 yrs)
- Last Updated
- Feb 24, 2020
- License
-
PT20306 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11239 TAMPA AVE STE 205PORTER RANCH, CA, 913263782Browse CA providers · Browse ZIP 91326
- Phone
- 8188310484
- Fax
- 8188329389
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PORTER RANCH, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SOHEILA DELRAHIM | M.D. | 1508019746 |
| AMY INDRIZZO | M.T. | 1770717522 |
| MR. PAUL VINCZE | LMT | 1205067246 |
| MISS NEREIDA PADILLA | CMT | 1417248774 |
| MS. ROSALINDA YEATTS | MT | 1669731915 |
| NATALY ANN OCHOA | D.P.T. | 1295071306 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.