AMY RUTH VANDIVER

LOS ANGELES, CA
NPI1740716190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: CA  A158695)
Enumeration Date2017-05-04
Last Update Date2023-10-02
Business Address
AMY RUTH VANDIVER
200 UCLA MEDICAL PLZ STE 450
LOS ANGELES, CA 90095-1233
Phone number: 310-825-6911
Mailing Address
AMY RUTH VANDIVER
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707