| |
1434 Foothill Blvd, Suite C, La Canada, CA 91011-2107 | |
(818) 928-1400 | |
(626) 963-7207 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 1434 Foothill Blvd, La Canada, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184174716 | NPI | - | NPPES |
Provider Name | Kevin H Ivory |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1255762373 PECOS PAC ID: 0648535245 Enrollment ID: I20180601000839 |
Mailing Address | Practice Location Address |
---|---|
1434 Foothill Blvd Unit C, La Canada, CA 91011-2166 Ph: (818) 928-1400 | 1434 Foothill Blvd, Suite C, La Canada, CA 91011-2107 Ph: (818) 928-1400 |
Dr. Kevin Harlan Ivory, AU.D., CCC-A Audiologist Medicare: May Accept Medicare Assignments Practice Location: 1434 Foothill Blvd, Suite C, La Canada, CA 91011 Phone: 818-928-1400 Fax: 626-963-7207 |