Individual provider · Type 1 NPI

Ivy Bartholomew Coker

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1295409845 Active

Practice location

8929 S Sepulveda Blvd Ste 201
Los Angeles, CA 90045-3643

Call (310) 645-5227 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295409845

Ivy Bartholomew Coker's National Provider Identifier is 1295409845, issued on Aug 6, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 6, 2021.