Lorena Andrea Vivanco De Martinez
M.D. | Child Abuse Pediatrics | Female
Lorena Andrea Vivanco De Martinez, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
Child Abuse Pediatrics.
Current practice location of Lorena Andrea Vivanco De Martinez is
3665 Kearny Villa Rd, Ste 501, San Diego, California - 92123-1953. She can be contacted on phone at
858-966-5803.
Lorena Andrea Vivanco De Martinez is a sole proprietor of her business.
NPI number (Unique professional ID) for Lorena Andrea Vivanco De Martinez is
1407927262 which was assigned by NPPES on 13 Nov, 2006 and it was last updated on 27 Oct, 2017.
Lorena Andrea Vivanco De Martinez license number is
A73493 for Pediatrics Child Abuse Pediatrics (2080C0008X) in California.
Lorena Andrea Vivanco De Martinez serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
Complete Profile:
Lorena Andrea Vivanco De Martinez basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Child Abuse Pediatrics |
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| Provider Name : | Lorena Andrea Vivanco De Martinez |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Lorena Andrea Vivanco De Martinez address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3665 Kearny Villa Rd, Ste 501
San Diego, CA, 92123-1953
United States |
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| Phone Number : | 858-966-5803 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407927262 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Nov, 2006 |
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| Last Updated On : | 27 Oct, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lorena Andrea Vivanco De Martinez are as mentioned. Primary taxonomy code for Lorena Andrea Vivanco De Martinez, M.D. is
2080C0008X (Pediatrics Child Abuse Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | A73493 | CA |
| 2080C0008X | Pediatrics Child Abuse Pediatrics | Yes | A73493 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Lorena Andrea Vivanco De Martinez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A734930 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3020 Childrens Way # Mc5159
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-966-5803 |
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Business Location:
Patients can refer following map for directions to
Lorena Andrea Vivanco De Martinez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.