Most Relevant Information
Provider Data
| NPI Number: | 1003802265 |
| Provider Name: | ALIX VINCENT MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | ME97645 |
Most Important Dates
| Enumeration Date: | 09/23/2005 |
| Last Updated: | 08/20/2024 |
Provider Practice Location
3 SEA COVE LN
NEWPORT BEACH
CA
926606221
Practice Location Phone/Fax
| Phone: | 9098387864 |
| Fax: |
Provider Mailing Location
3 SEA COVE LN
NEWPORT BEACH
CA
926606221
Provider Mailing Phone/Fax
| Phone: | 9098387864 |
| Fax: |