Provider Demographics
NPI:1063691061
Name:VINZON, RIZA ALMA (NP)
Entity type:Individual
Prefix:MS
First Name:RIZA
Middle Name:ALMA
Last Name:VINZON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 ATLANTIC AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2252
Mailing Address - Country:US
Mailing Address - Phone:562-988-2777
Mailing Address - Fax:562-988-2779
Practice Address - Street 1:4401 ATLANTIC AVE STE 202
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807
Practice Address - Country:US
Practice Address - Phone:562-988-2777
Practice Address - Fax:562-988-2779
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2018-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314610363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health