DR. Larry Ivancich

NPI #1912905472 in El Monte, California

Provider Information

NPI Number: 1912905472
Entity Type: Individual
Name: DR. Larry Ivancich
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Enumeration Date: Jul 8, 2005
Last Updated: Feb 25, 2008

Practice Location

Address: 11800 VALLEY BLVD
City: El Monte
State: California
ZIP Code: 91732-3040
Phone: (626) 401-2775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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