Individual
DR. ANGELICA VIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027
(888) 631-2452
(323) 361-8988
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A142453
CA
Other
Enumeration date
04/15/2013
Last updated
06/24/2019
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