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Organization
IVAN L BREED MD INC
Active
Organization
IVAN L BREED MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN L BREED MD (PRESIDENT/OWNER)
(626) 917-5999
Entity
Organization
Contact information
Practice address
605 E BADILLO ST, SUITE 110, COVINA, CA 91723-2846
(626) 917-5999
(626) 917-5999
Mailing address
PO BOX 4609, COVINA, CA 91723-4609
(626) 917-5999
(626) 917-5999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A31294
CA
Other
Enumeration date
06/28/2005
Last updated
04/11/2013
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