Individual provider · Type 1 NPI
Ivan Brando Teves Aguilera, D.P.M.
Foot & Ankle Surgery Podiatrist · Riverside, CA
NPI number
1861834178
Active
Practice location
1485 University Ave Ste B
Riverside, CA 92507-4497
Fax (951) 405-8555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5245 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1861834178
Ivan Brando Teves Aguilera, D.P.M.'s National Provider Identifier is 1861834178, issued on Jul 28, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Riverside, CA. The record was last updated on May 12, 2022.