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Mrs. Anna Spivak SR.
Specialist in Los Angeles, California
NPI 1801873336

Anna Spivak SR. is a Specialist based in Los Angeles, CA. Anna Spivak SR. practices in Los Angeles, CA. The NPI Number for Anna Spivak SR. is 1801873336 and holds a License No. HA3437 (California).

The current practice location address for Anna Spivak SR. is 425 S Fairfax Ave, Los Angeles, CA and can be reached out via phone at 323-933-0363 and via fax at 323-933-0363.

Location: 425 S Fairfax Ave, Los Angeles, CA, 90036-3148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801873336
Provider Name
Anna Spivak SR.
Credential
Provider Entity Type
Individual
Gender
Female
Address
425 S Fairfax Ave, Los Angeles, CA, 90036-3148
Phone Number
323-933-0363
Fax Number
323-933-0363
Provider Enumeration Date
12/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HA0034370 05 CA
institution
Provider Business Practice Location Address Details
Address
425 S Fairfax Ave
City
Los Angeles
State
California
Zip
90036-3148
Phone Number
323-933-0363
Fax Number
323-933-0363
person
Provider Business Mailing Address Details
Address
425 S Fairfax Ave
City
Los Angeles
State
California
Zip
90036-3148
Phone Number
323-933-0363
Fax Number
323-933-0363
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
HA3437 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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