Individual
MR. EDWARD VIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 406-5806
Mailing address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 406-5806
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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