Individual
DR. VIVIAN MO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-6130
Mailing address
1510 SAN PABLO ST STE 322, LOS ANGELES, CA 90033-5305
(323) 442-6102
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
L6530
TX
207RC0000X
Cardiovascular Disease Physician
Primary
A100505
CA
207RC0000X
Cardiovascular Disease Physician
L6530
TX
207RC0000X
Cardiovascular Disease Physician
MD19224
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
07/17/2006
Last updated
09/11/2023
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