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David Ivanov
Student in an Organized Health Care Education/Training Program in Redwood City, California
NPI 1356962781

David Ivanov is a Student in an Organized Health Care Education/Training Program based in Redwood City, CA. David Ivanov practices in Redwood City, CA. The NPI Number for David Ivanov is 1356962781 and holds a License No. (California).

The current practice location address for David Ivanov is 430 Broadway St, Redwood City, CA and can be reached out via phone at 650-721-7669.

Location: 430 Broadway St, Redwood City, CA, 94063-3132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356962781
Provider Name
David Ivanov
Credential
Provider Entity Type
Individual
Gender
Male
Address
430 Broadway St, Redwood City, CA, 94063-3132
Phone Number
650-721-7669
Fax Number
Provider Enumeration Date
04/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
430 Broadway St
City
Redwood City
State
California
Zip
94063-3132
Phone Number
650-721-7669
Fax Number
person
Provider Business Mailing Address Details
Address
430 Broadway St
City
Redwood City
State
California
Zip
94063-3132
Phone Number
650-721-7669
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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