| Michael R.p. Vivian, Md | |
|
260 Maple Ct Ste 205 Ventura CA 93003-9134 | |
| (805) 650-3888 | |
| (805) 650-3804 |
| Full Name | Michael R.p. Vivian, Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 260 Maple Ct Ste 205, Ventura, California |
| Authorized Official Name and Position | Michael Rp Vivian (PHYSICIAN) |
| Authorized Official Contact | 8056503888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R.p. Vivian, Md 260 Maple Ct Ste 205 Ventura CA 93003-9134 Ph: (805) 650-3888 | Michael R.p. Vivian, Md 260 Maple Ct Ste 205 Ventura CA 93003-9134 Ph: (805) 650-3888 |
| NPI Number | 1104091966 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 10/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104091966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G78890 (California) | Primary |
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