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NPI Provider: 1669478228
Contact Name: Breed L Ivan
Position: President/Owner
Phone: (626) 331-2209
Ivan L. Breed Md. Inc Dha Information:
Ivan L. Breed Md. Inc Dha organization have npi 1669478228, taxonomy code is 207Q00000X with license number is A31294 in . This Business address located in 475 W Badillo St, Covina, CA 91723 California. Get directions of Ivan L. Breed Md. Inc Dha.
Practice Location
Address: 475 W Badillo St, Covina, CA 91723
Phone: (626) 331-2209
Business Location
Address: 475 W Badillo St, Covina, CA 91723
Phone: (626) 331-2209
Fax: (626) 967-1410
Taxonomy
Taxonomy Code: 207Q00000X
License Number: A31294
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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