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Dr. Ivy Ewald, MD
Student in an Organized Health Care Education/Training Program in Pasadena, California
NPI 1376104315

Ivy Ewald is a Student in an Organized Health Care Education/Training Program based in Pasadena, CA. Ivy Ewald practices in Pasadena, CA and has the professional credentials of MD. The NPI Number for Ivy Ewald is 1376104315 and holds a License No. 0000 (California).

The current practice location address for Ivy Ewald is 100 W California Blvd, Pasadena, CA and can be reached out via phone at 626-397-5000.

Location: 100 W California Blvd, Pasadena, CA, 91105-3010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376104315
Provider Name
Ivy Ewald
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 W California Blvd, Pasadena, CA, 91105-3010
Phone Number
626-397-5000
Fax Number
Provider Enumeration Date
06/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 W California Blvd
City
Pasadena
State
California
Zip
91105-3010
Phone Number
626-397-5000
Fax Number
person
Provider Business Mailing Address Details
Address
100 W California Blvd
City
Pasadena
State
California
Zip
91105-3010
Phone Number
626-397-5000
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.
0000 ()
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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