Provider Demographics
NPI:1710490925
Name:CARIAT, VIVIAN CAROLINA
Entity Type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:CAROLINA
Last Name:CARIAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 WOODLAND AVE.
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505
Mailing Address - Country:US
Mailing Address - Phone:818-216-1426
Mailing Address - Fax:818-563-2714
Practice Address - Street 1:2499 S. WILMINGTON AVE.
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220
Practice Address - Country:US
Practice Address - Phone:310-638-1113
Practice Address - Fax:310-638-8042
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter