Mccorvey, Vivian Monique

Mccorvey, Vivian Monique is an individual health care provider with primary practice located at 100 W California Blvd , Pasadena CA 91105-3010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Mccorvey, Vivian Monique can be contacted via phone (626) 397-5139.

Contact Information

Primary practice address
100 W California Blvd Pasadena CA 91105-3010
Phone: (626) 397-5139
Fax: (626) 397-2190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 39640 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 53565 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 41020 Arizona

Profile Details

NPI number 1992788566
LBN Legal business name Mccorvey, Vivian Monique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Dec 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992788566 NPPES
Arizona MEDICAID 398236
Arizona MEDICAID 64105000

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