Ivy Amezcua M.D.

NPI 1114154291 - Internal Medicine - 207R00000X

NPI Details
NPI 1114154291
Gender Female
Enumeration Date 06/16/2009
Last Updated 06/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
757 WESTWOOD PLZ
ROOM B713
LOS ANGELES CA, 90095-8358, US
Phone (310) 825-8307
Fax
Business Location
1329 BARRY AVE APT 9
LOS ANGELES CA, 90025-3948, US
Phone (310) 562-9348
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number 0
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According to our database, Dr. Ivy Amezcua M.D. NPI is 1114154291, taxonomy code is 207R00000X and license number is 0, license state is located at California. Ivy Amezcua M.D. physically located at 757 Westwood Plz, Los Angeles CA, 90095-8358. NPI Number Ivy Amezcua M.D. has the Individual type.

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1114154291 NPI number is provided on an as is basis without warranty of any kind. 1114154291 is maintained by the National Plan & Provider Enumeration System. The contents of Ivy Amezcua M.D. are for informational purposes only.