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Search › California › 208100000X

Charise Ivy, M.D

NPI 1871668293 · on the registry since 2006 · sole proprietor

Practice

Address
1500 E Chevy Chase Dr Ste 401
Glendale Adventist Medical Center Spine Institute
Glendale, CA 91206
Phone
(818) 863-4451
Fax
(818) 863-4984
Organisation at this address
Taell Kim, Md Inc
Lance J. Lee M.D. Inc
Badr Medical Corporation
Ikenna Nwachuku, Md, Inc.
Mindaugas Viela M.D. Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
208100000X
Licence states on file
MA, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-19

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