Vicencio, Jan Raymond
Vicencio, Jan Raymond is an sole proprietor health care provider with primary practice located at 2901 W Coast Hwy Suite 200, Newport Beach CA 92663-4023. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Vicencio, Jan Raymond can be contacted via phone (562) 229-4813.Contact Information
Primary practice address
2901 W Coast Hwy Suite 200
Newport Beach CA 92663-4023
Phone: (562) 229-4813
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 95003057 | California |
Profile Details
| NPI number | 1295109304 |
|---|---|
| LBN Legal business name | Vicencio, Jan Raymond |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2015 |
| Last updated | Feb 2nd, 2016 - about 10 years ago |
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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