Search › California › 122300000X
Ivan Teran
NPI 1699007781 · on the registry since 2010
Practice
- Address
- 8775 Costa Verde Blvd
Apt 603
San Diego, CA 92122 - Phone
- (858) 220-2476
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-01
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