Search › California › 152W00000X
Vivian Iles, O.D
NPI 1952604357 · on the registry since 2010 · sole proprietor
Practice
- Address
- 302 Northgate Dr
Manteca, CA 95336 - Phone
- (866) 682-4842
- Fax
- (209) 239-5295
- Organisation at this address
- Golden Valley Health Center
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 857 W Childs Ave, Merced, CA
- 2725 W Canyon Ave, San Diego, CA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 390200000X
152W00000X
152W00000X - Licence states on file
- NULL, CO, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California