Individual
KEVIN VIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 W KIMBERLY AVE STE 120, PLACENTIA, CA 92870-6345
(714) 793-7597
Mailing address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
07/02/2024
Last updated
06/10/2025
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