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

MS. Jennifer L Vivanco, RPT

Individual provider Specialist · NPI 1982767596

MS. Jennifer L Vivanco, RPT is a Specialist in Porter Ranch, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

11239 Tampa Ave Ste 205
Porter Ranch, CA 91326-3782
Phone: (818) 831-0484
Fax: (818) 832-9389
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT20306 (CA)

Record details

NPI number1982767596
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPT
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

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