Vicioso, Michael

Vicioso, Michael is an sole proprietor health care provider with primary practice located at 3835 E 7Th St , Long Beach CA 90804-5303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Vicioso, Michael can be contacted via phone (562) 473-4441.

Contact Information

Primary practice address
3835 E 7Th St Long Beach CA 90804-5303
Phone: (562) 473-4441
Fax: (562) 473-4447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 22745 California

Profile Details

NPI number 1932449642
LBN Legal business name Vicioso, Michael
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2013
Last updated Feb 10th, 2020 - about 6 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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