OrganizationActive
Vivanti Wound Specialists LLC
NPI 1740174812 · Wound Care Registered Nurse · West Covina, CA
Provider details
- NPI number
- 1740174812
- Entity type
- Organization
- Primary specialty
- Wound Care Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Kent Gerald Bagni, Ceo(909) 206-7657
Specialties & taxonomies
Nursing Service Providers
Practice location
1619 W Garvey Ave N Ste 205
West Covina, CA 91790-2147
Phone: (909) 206-7567
Approximate (ZIP-level) locationGet directions
Mailing address
1619 W Garvey Ave N Ste 205
West Covina, CA 91790-2147
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.