# MICHAEL J. VIZCARRA, M.D., INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508388505
- **Authorized official:** DR. MICHAEL JORDAN VIZCARRA MD (PRESIDENT)
- **Authorized official phone:** (714) 556-0536

## Contact information

- **Practice address:** 11160 WARNER AVE STE 219, FOUNTAIN VALLEY, CA 92708-4048
- **Practice address phone:** (714) 556-0536
- **Practice address fax:** (714) 435-9640
- **Mailing address:** 11160 WARNER AVE STE 219, FOUNTAIN VALLEY, CA 92708-4048
- **Mailing address phone:** (714) 556-0536
- **Mailing address fax:** (714) 435-9640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 07/21/2022