EMILIA VELMA IVANS

LOS ANGELES, CA
NPI1174979090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  53459)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CT  3567)
363AS0400X Physician Assistant, Surgical
(Licence: CT  3567)
Enumeration Date2016-05-10
Last Update Date2021-05-27
Business Address
EMILIA VELMA IVANS PA-C
6801 PARK TER STE 400
LOS ANGELES, CA 90045-9212
Phone number: 310-665-7200
Mailing Address
EMILIA VELMA IVANS PA-C
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number: 310-665-7200