Individual
DR. LIVIA VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
276 INTERNATIONAL CIR FL 3, SAN JOSE, CA 95119-1130
(408) 972-3590
Mailing address
276 INTERNATIONAL CIR FL 3, SAN JOSE, CA 95119-1130
(408) 972-3590
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
004019
GA
207N00000X
Dermatology Physician
067449
GA
207N00000X
Dermatology Physician
Primary
A137354
CA
Other
Enumeration date
11/14/2008
Last updated
03/01/2022
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