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

Ivan Vivanco

Individual provider Rehabilitation Practitioner · NPI 1700423712

Ivan Vivanco is a Rehabilitation Practitioner in Chatsworth, California. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

21000 Plummer St
Chatsworth, CA 91311-4903
Phone: (661) 348-5492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1700423712
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2019
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing address21000 Plummer St, Chatsworth, CA 91311-4903

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