Individual
DAISY VINZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #265, LOS ANGELES, CA 90074
(310) 206-6923
(310) 796-4941
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 546-4599
(310) 796-4941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G73285
CA
208000000X
Pediatrics Physician
Primary
G73285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G732850
—
CA
Enumeration date
08/11/2006
Last updated
02/17/2010
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