Issa, Ivy C.

Issa, Ivy C. is an individual health care provider with primary practice located at 3364 Beyer Blvd Ste 102 , San Ysidro CA 92173-1322. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Issa, Ivy C. can be contacted via phone (619) 662-4100.

Contact Information

Primary practice address
3364 Beyer Blvd Ste 102 San Ysidro CA 92173-1322
Phone: (619) 662-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X DR.0068779 Colorado
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X C53735 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X DR.0068779 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0068779 Colorado

Profile Details

NPI number 1891796165
LBN Legal business name Issa, Ivy C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 14th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891796165 NPPES
North Carolina Other 136W5 BCBS
North Carolina Other 380001702 BCBS
North Carolina MEDICAID 89130RF BCBS

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