Individual provider · Type 1 NPI
Enoc Vivian
Family Nurse Practitioner · Maywood, CA
NPI number
1689579195
Active
Practice location
4207 Slauson Ave
Maywood, CA 90270-2835
Mailing address
1413 Clela Ave
Los Angeles, CA 90022-4948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95041377 (CA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Maywood
About NPI 1689579195
Enoc Vivian's National Provider Identifier is 1689579195, issued on Oct 13, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maywood, CA. The record was last updated on Oct 13, 2026.