Individual provider · Type 1 NPI
Eliot Richard Ivanhoe, MD
General Practice Registered Nurse · Santa Monica, CA
NPI number
1124281357
Active
Practice location
2926 Santa Monica Blvd
Santa Monica, CA 90404
Fax (310) 459-8353
Mailing address
16401 Akron St
Pacific Palisades, CA 90272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | G52332 (CA) |
General Practice Registered Nurse: Definition to come...
Other general practice registered nurse providers in Santa Monica
About NPI 1124281357
Eliot Richard Ivanhoe, MD's National Provider Identifier is 1124281357, issued on Jul 8, 2008. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 8, 2008.