Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Omar Vicente

Individual provider Independent Duty Corpsman · NPI 1457658924

Angel Omar Vicente is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

34101 Farenholt Ave Bldg #14
San Diego, CA 92134-5291
Phone: (619) 532-6233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1457658924
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 18, 2011
Last updated in NPPESFebruary 18, 2011

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