Individual provider · Type 1 NPI
Jan Raymond Vicencio, N.P.
Adult Health Nurse Practitioner · Newport Beach, CA
NPI number
1295109304
Active
Practice location
2901 W Coast Hwy, Suite 200
Newport Beach, CA 92663-4023
Mailing address
14733 Woodruff Pl
Bellflower, CA 90706-3270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95003057 (CA) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1295109304
Jan Raymond Vicencio, N.P.'s National Provider Identifier is 1295109304, issued on Dec 1, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Newport Beach, CA. The record was last updated on Feb 2, 2016.