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Ivan Gavidia
NPI 1881234342 · on the registry since 2020
Practice
- Address
- 19401 S Vermont Ave # L102
Torrance, CA 90502 - Phone
- (310) 323-6887
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-13
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