Individual provider · Type 1 NPI

Ivan Vivanco

Rehabilitation Practitioner · Chatsworth, CA

NPI number 1700423712 Active

Practice location

21000 Plummer St
Chatsworth, CA 91311-4903

Call (661) 348-5492 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1700423712

Ivan Vivanco's National Provider Identifier is 1700423712, issued on Dec 9, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Chatsworth, CA. The record was last updated on Dec 9, 2019.