Gicelly Vizcaino, is a
Marriage & Family Therapist based in Los Angeles, California. Gicelly Vizcaino is licensed to practice in California (license number 145177) and her current practice location is
3850 Crenshaw Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 751-3026.
NPI number for Gicelly Vizcaino is 1083478317 and her current mailing address is 3850 Crenshaw Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083478317.
Healthcare Provider's Profile
Full Name | Gicelly Vizcaino |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 3850 Crenshaw Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083478317
- Provider Enumeration Date: 02/07/2024
- Last Update Date: 02/21/2024
Medical Identifiers
Medical identifiers for Gicelly Vizcaino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083478317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | F4763687 (California) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 145177 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gicelly Vizcaino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gicelly Vizcaino, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: () - | Gicelly Vizcaino, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 751-3026 |
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