Larry Ivancich

NPI 1912905472 · on the registry since 2005 · sole proprietor

Practice

Address: 11800 Valley Blvd
El Monte, CA 91732
Phone: (626) 401-2775
Fax: (626) 401-9826
Organisation at this address: Ivancich Podiatry Services, Inc.
Universal Foot And Ankle Care, A Podiatry Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Podiatrist
213E00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-02-25

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