Organization
PRO IVY MEDICAL GROUP PC
Active
Organization
PRO IVY MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MICHAEL SCHILLING MD (MANAGER)
(717) 743-8118
Entity
Organization
Contact information
Practice address
5151 OCEANUS, STE 106, HUNTINGTON BEACH, CA 92649
(714) 743-8118
Mailing address
5151 OCEANUS, STE 106, HUNTINGTON BEACH, CA 92649
(714) 379-8444
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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