Individual
ANDREW CARLOS VIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27235 TOURNEY RD STE 2500, VALENCIA, CA 91355-5908
(310) 319-3475
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C168987
CA
207X00000X
Orthopaedic Surgery Physician
297319
NY
Other
Enumeration date
06/06/2012
Last updated
10/02/2020
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