Duenas, Ivy Grace Bas

Duenas, Ivy Grace Bas is an sole proprietor health care provider with primary practice located at 11080 W Olympic Blvd , Los Angeles CA 90064-1937. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Other Service Providers / Community Health Worker is her primary health care specialty. Duenas, Ivy Grace Bas can be contacted via phone (310) 966-6600.

Contact Information

Primary practice address
11080 W Olympic Blvd Los Angeles CA 90064-1937
Phone: (310) 966-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1336662501
LBN Legal business name Duenas, Ivy Grace Bas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2017
Last updated Jun 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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