Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Ivan Mills, IDC

Individual provider Independent Duty Corpsman · NPI 1689044174

Ivan Mills, IDC is registered under Independent Duty Corpsman in Bonita, California. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

371 Camino Elevado
Bonita, CA 91902-2430 Not confirmed with CMS for 11 years — call before visiting
Phone: (404) 889-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1689044174
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedSeptember 28, 2015
Last updated in NPPESSeptember 28, 2015

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