Ivancich, Larry
Ivancich, Larry is an sole proprietor health care provider with primary practice located at 11800 Valley Blvd , El Monte CA 91732-3040. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ivancich, Larry can be contacted via phone (626) 401-2775.Contact Information
Primary practice address
11800 Valley Blvd
El Monte CA 91732-3040
Phone: (626) 401-2775
Fax: (626) 401-9826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E3249 | California |
Profile Details
| NPI number | 1912905472 |
|---|---|
| LBN Legal business name | Ivancich, Larry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Feb 25th, 2008 - about 17 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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