Individual
CLAUDIA ALIDA VISCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 CLARENDON AVE FL 2, HUNTINGTON PARK, CA 90255-4119
(323) 584-3700
Mailing address
2629 CLARENDON AVE FL 2, HUNTINGTON PARK, CA 90255-4119
(323) 584-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
05/15/2025
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