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Organization
VIVENZA MEDICAL GROUP APMC
Active
Organization
VIVENZA MEDICAL GROUP APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASH CORDERO (PRACTICE OWNER)
(818) 266-1090
Entity
Organization
Contact information
Practice address
118 S KENWOOD ST UNIT 503, GLENDALE, CA 91205-2689
(818) 266-1090
Mailing address
3311 W LINCOLN AVE APT 10, ANAHEIM, CA 92801-6046
(818) 266-1090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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