Individual provider · Type 1 NPI
Vivien R. Igra, MD
Pediatric Adolescent Medicine Physician · Walnut Creek, CA
NPI number
1801974969
Active
Practice location
1425 S Main St
Walnut Creek, CA 94596-5318
Mailing address
1800 Harrison St Fl 7
Oakland, CA 94612-3466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | G63247 (CA) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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About NPI 1801974969
Vivien R. Igra, MD's National Provider Identifier is 1801974969, issued on Nov 2, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Walnut Creek, CA. The record was last updated on Dec 2, 2021.