Individual provider · Type 1 NPI

Vivian Shoukrun, MD

Student in an Organized Health Care Education/Training Program · Northridge, CA

NPI number 1952242513 Active

Practice location

18460 Roscoe Blvd
Northridge, CA 91325-4107

Call (818) 885-5480 Map

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 1952242513

Vivian Shoukrun, MD's National Provider Identifier is 1952242513, issued on Apr 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northridge, CA. The record was last updated on Apr 6, 2026.