Individual
VIVI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1694 W ORD WAY, ANAHEIM, CA 92802-4519
(714) 251-9172
Mailing address
1694 W ORD WAY, ANAHEIM, CA 92802-4519
(714) 251-9172
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
287686
CA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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