Organization
MICHAEL J. VIZCARRA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JORDAN VIZCARRA MD (PRESIDENT)
(714) 556-0536
Entity
Organization
Contact information
Practice address
11160 WARNER AVE STE 219, FOUNTAIN VALLEY, CA 92708-4048
(714) 556-0536
(714) 435-9640
Mailing address
11160 WARNER AVE STE 219, FOUNTAIN VALLEY, CA 92708-4048
(714) 556-0536
(714) 435-9640
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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