| Aiva Health Services | |
|
8453 S Van Ness Ave Inglewood CA 90305-1519 | |
| (323) 778-1177 | |
| (323) 778-2477 |
| Full Name | Aiva Health Services |
|---|---|
| Speciality | Clinic/center |
| Location | 8453 S Van Ness Ave, Inglewood, California |
| Authorized Official Name and Position | Tavonia Sidoney Russell (DIRECTOR) |
| Authorized Official Contact | 3104626082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aiva Health Services 17810 Elm Ct Carson CA 90746-7429 Ph: (310) 462-6082 | Aiva Health Services 8453 S Van Ness Ave Inglewood CA 90305-1519 Ph: (323) 778-1177 |
| NPI Number | 1215102215 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215102215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | FNP 38172 (California) | Primary |
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