Individual
ANGELA MARIA VAIVAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 W BETHANY HOME RD # 200, PHOENIX, AZ 85015-2443
(623) 573-6000
Mailing address
4034 PARK BLVD, SAN DIEGO, CA 92103-2620
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
06/27/2025
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