Individual provider · Type 1 NPI

Angela Maria Vaivao, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1184475113 Active

Practice location

2000 W Bethany Home Rd # 200
Phoenix, AZ 85015-2443

Call (623) 573-6000 Map

Mailing address

4034 Park Blvd
San Diego, CA 92103-2620

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184475113

Angela Maria Vaivao, MD's National Provider Identifier is 1184475113, issued on Mar 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 27, 2025.