Provider Demographics
NPI:1841857919
Name:SILANGCRUZ, KRIXIE VIVO (MD, MBA)
Entity type:Individual
Prefix:
First Name:KRIXIE
Middle Name:VIVO
Last Name:SILANGCRUZ
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:KRIXIE
Other - Middle Name:ZIALCITA
Other - Last Name:VIVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:824 E CARSON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-2262
Mailing Address - Country:US
Mailing Address - Phone:310-233-3203
Mailing Address - Fax:
Practice Address - Street 1:824 E CARSON ST STE 101
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2262
Practice Address - Country:US
Practice Address - Phone:310-233-3203
Practice Address - Fax:310-549-7010
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI7734207R00000X
CA184885207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine