NPI 1790903573

Eduardita Eolani Vicencio, MD

Practitioner Ophthalmology Physician Apple Valley, CA

Practice location

Address: 16031 Tuscola Rd, Apple Valley, CA 92307-1319
Phone: (760) 946-2020

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence A23710 (CA)

Other Ophthalmology providers in California →

Registry record

NPI: 1790903573
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2007
Record last updated: 6 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.