| Doctor Name: | DR. ALIX VINCENT |
| NPI Number: | 1003802265 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 225547 |
| Business Practice Address: | 3 Sea Cove Ln Newport Beach, CA - 926606221 |
| Business Phone Number: | 9098387864 |
| Business Fax Number: | |
| Mailing Address: | 3 Sea Cove Ln, NEWPORT BEACH |
| State: | CA |
| Postal Code: | 926606221 |
| Phone Number: | 9098387864 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2005 |
| NPI Last Update Date: | 10/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0700X |
| License Number: | 225547 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Neuroradiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |