Individual
MARCO ANTONIO LOPEZ VIZCARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26991 CROWN VALLEY PKWY STE 100, MISSION VIEJO, CA 92691-6511
(949) 582-5430
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
45748
TN
2084N0400X
Neurology Physician
Primary
C134501
CA
Other
Enumeration date
05/25/2007
Last updated
03/03/2026
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