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Vicmar Burgonio, FNP
Family Nurse Practitioner in Irvine, California
NPI 1710604525

Vicmar Burgonio is a Family Nurse Practitioner based in Irvine, CA and is specialized in Family. Vicmar Burgonio practices in Irvine, CA and has the professional credentials of FNP. The NPI Number for Vicmar Burgonio is 1710604525 and holds a License No. NP95022430 (California).

The current practice location address for Vicmar Burgonio is 6670 Alton Pkwy, Irvine, CA and can be reached out via phone at 833-574-2273.

Location: 6670 Alton Pkwy, Irvine, CA, 92618-3734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710604525
Provider Name
Vicmar Burgonio
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
6670 Alton Pkwy, Irvine, CA, 92618-3734
Phone Number
833-574-2273
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6670 Alton Pkwy
City
Irvine
State
California
Zip
92618-3734
Phone Number
833-574-2273
Fax Number
person
Provider Business Mailing Address Details
Address
6670 Alton Pkwy
City
Irvine
State
California
Zip
92618-3734
Phone Number
833-574-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95022430 (California)
Definition
Definition to come...
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