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General NPI Number Information
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NPI Number | 1609317882
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Entity Type | Individual
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Provider Name | NIKA ALEXA VIZCARRA MD, MS, FACOG
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Gender | Female
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 6801 COLDWATER CANYON AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-5162
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Country | US
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Telephone | 818-763-8836
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Fax |
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Provider Business Mailing Address
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Address Line | 3135 YORKSHIRE WAY
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-5119
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Country | US
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Telephone | 626-944-2289
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 21385
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A191817
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License Number State | CA
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