Search › California › 103TC2200X
Kevin Jervik, PHD
NPI 1306964655 · on the registry since 2007
Practice
- Address
- 411 N Harbor Blvd
Suite 300
San Pedro, CA 90731 - Phone
- (310) 833-3696
- Fax
- (310) 833-3572
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC2200X
103TC2200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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