Individual provider · Type 1 NPI

Larry Ivancich

Podiatrist · El Monte, CA

NPI number 1912905472 Active · reactivated Mar 29, 2006

Practice location

11800 Valley Blvd
El Monte, CA 91732-3040

Fax (626) 401-9826

Mailing address

PO Box 660025
Arcadia, CA 91066-0025

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000XE3249 (CA)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3 other providers at this address

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About NPI 1912905472

Larry Ivancich's National Provider Identifier is 1912905472, issued on Jul 8, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in El Monte, CA. The record was last updated on Feb 25, 2008.