| Ivan L Breed Md Inc | |
|
605 E Badillo St Suite 110 Covina CA 91723-2846 | |
| (626) 917-5999 | |
| (626) 917-5999 |
| Full Name | Ivan L Breed Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 605 E Badillo St, Covina, California |
| Authorized Official Name and Position | Ivan L Breed (PRESIDENT/OWNER) |
| Authorized Official Contact | 6269175999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan L Breed Md Inc Po Box 4609 Covina CA 91723-4609 Ph: (626) 917-5999 | Ivan L Breed Md Inc 605 E Badillo St Suite 110 Covina CA 91723-2846 Ph: (626) 917-5999 |
| NPI Number | 1669478228 |
|---|---|
| Provider Enumeration Date | 06/28/2005 |
| Last Update Date | 04/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669478228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A31294 (California) | Primary |
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