IVAN ANDRO SIMUNOVIC

LA HABRA, CA
NPI1275050999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  55186)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2017-08-23
Last Update Date2021-07-08
Business Address
IVAN ANDRO SIMUNOVIC
1341 BROOKDALE AVE.
LA HABRA, CA 90631
Phone number: 562-441-0677
Mailing Address
IVAN ANDRO SIMUNOVIC
FILE 50670
LOS ANGELES, CA 90074-0670
Phone number:
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