Search › Arizona › 363LF0000X
Elena Ivanova
NPI 1396132312 · on the registry since 2015
Practice
- Address
- 1108 W Indian School Rd
Ste B
Phoenix, AZ 85013 - Phone
- (602) 773-5600
- Fax
- (602) 773-5601
- Organisation at this address
- Clinica Latina Healthcare Group Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-30
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 Arizona