Individual
DR. MICHAEL JORDAN VIZCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11180 WARNER AVE, SUITE 455, FOUNTAIN VALLEY, CA 92708-7501
(714) 556-0536
(714) 435-9640
Mailing address
11180 WARNER AVE, SUITE 455, FOUNTAIN VALLEY, CA 92708-7501
(714) 556-0536
(714) 435-9640
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A124349
CA
Other
Enumeration date
03/27/2009
Last updated
09/11/2013
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