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RENEE NICOLE VIVEROS M.A. APPLIED PSYCHOL
NPI 1306104948
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since May 02, 2012
1720 E 120TH ST, LOS ANGELES, CA 90059(310) 668-5902 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renee Nicole Viveros M.a. Applied Psychol NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE NICOLE VIVEROS M.A. APPLIED PSYCHOL (NPI 1306104948) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2012. She maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1306104948
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRENEE NICOLE VIVEROSCredential: M.A. APPLIED PSYCHOL
Location Address1720 E 120TH STLos Angeles, CA 90059-3052
Mailing Address1720 E 120th StLos Angeles, CA 90059-3052 · (310) 668-5902
Phone(310) 668-5902
Sole ProprietorYes
Enumeration DateMay 2, 2012
Last NPPES UpdateAugust 28, 2019
✔ NPI 1306104948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1720 E 120TH ST, Los Angeles, CA 90059
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Secondary Practice Location 1

Location 143520 Division StLancaster, CA 93535-4089 · Phone (661) 266-4783 ext. 2506

Other Identifiers 1

Other95-2633765CA · Medi-cal

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCY S VILLEGAS
Social Worker (Clinical)
1720 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (310) 668-3201
RICHARD JAMES TAYLOR
Community Health Worker
1720 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (310) 668-5150
ANGEL JONATHAN BAEZ
Community Health Worker
1720 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (562) 837-5137
MR. ROY DEAN KING LCSW
Social Worker (Clinical)
1720 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4371
DR. MARYAM HASHEMI M.D.
Psychiatry & Neurology (Psychiatry)
1720 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4272
MR. FERNANDO MALLORY
Student in an Organized Health Care Education/Training Program
1720 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4272
ASHLEY ALEXANDRA WHITE
Social Worker (Clinical)
1720 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 298-3680
MONICA UTOM
Nurse Practitioner (Psychiatric/Mental Health)
1720 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-2555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Viveros's NPI number?

The NPI number for Renee Viveros is 1306104948. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is Renee Viveros located?

Renee Viveros practices at 1720 E 120th St, Los Angeles, CA 90059. The listed phone number is (310) 668-5902.

What is Renee Viveros's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Renee Viveros was last updated on August 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.