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Sergey Vladimirovich Ivanov, DO
Student in an Organized Health Care Education/Training Program in Oceanside, California
NPI 1679013833

Sergey Vladimirovich Ivanov is a Student in an Organized Health Care Education/Training Program based in Oceanside, CA. Sergey Vladimirovich Ivanov practices in Oceanside, CA and has the professional credentials of DO. The NPI Number for Sergey Vladimirovich Ivanov is 1679013833 and holds a License No. 02005547A (California).

The current practice location address for Sergey Vladimirovich Ivanov is 200 Mercy Circle, Oceanside, CA and can be reached out via phone at 760-725-1288.

Location: 200 Mercy Circle, Oceanside, CA, 92055-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679013833
Provider Name
Sergey Vladimirovich Ivanov
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
200 Mercy Circle, Oceanside, CA, 92055-1006
Phone Number
760-725-1288
Fax Number
Provider Enumeration Date
03/06/2017
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
200 Mercy Circle
City
Oceanside
State
California
Zip
92055
Phone Number
760-725-1288
Fax Number
person
Provider Business Mailing Address Details
Address
200 Mercy Circle
City
Oceanside
State
California
Zip
92055
Phone Number
760-725-1288
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
02005547A (Indiana)
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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