Ivan Gavidia
Ivan Gavidia is a Rehabilitation Practitioner in Torrance, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
19401 S Vermont Ave # L102Torrance, CA 90502-1029
Phone: (310) 323-6887
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1881234342 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 13, 2020 |
| Last updated in NPPES | January 13, 2020 |
| Certification date | January 13, 2020 |
| Mailing address | 19401 S Vermont Ave # L102, Torrance, CA 90502-1029 |
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