Individual
MS. VIVIKA STARKS WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12765
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP12765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500525
NURSE PRACTITIONER
CA
Enumeration date
02/26/2007
Last updated
12/17/2025
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