National Provider Identifier Database

VIVIEN R IGRA, MD – NPI #1801974969
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

VIVIEN R IGRA, MD
1425 S MAIN ST
WALNUT CREEK, CA94596-5318
Phone: 925-295-4000
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for VIVIEN R IGRA

NPI Number 1801974969
Credentials MD
Entity Individual
Enumeration date 11/02/2006
Last updated 12/02/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • CA License #: G63247
  • CA Medicaid: 00G632470
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for VIVIEN R IGRA, MD

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