Search › California › 163WC0200X
Nina Ivanova
NPI 1811340466 · on the registry since 2016 · sole proprietor
Practice
- Address
- 516 El Camino Real Apt 2
Burlingame, CA 94010 - Phone
- (650) 438-7757
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Also registered as
- 374J00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California