# PRO IVY MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285223057
- **Authorized official:** RONALD MICHAEL SCHILLING MD (MANAGER)
- **Authorized official phone:** (717) 743-8118

## Contact information

- **Practice address:** 5151 OCEANUS, STE 106, HUNTINGTON BEACH, CA 92649
- **Practice address phone:** (714) 743-8118
- **Mailing address:** 5151 OCEANUS, STE 106, HUNTINGTON BEACH, CA 92649
- **Mailing address phone:** (714) 379-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2021
- **Last updated:** 01/15/2021