Individual
DR. IVY EWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 DIVISADERO ST RM C250, SAN FRANCISCO, CA 94143-3010
(415) 885-7464
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A195481
CA
Other
Enumeration date
06/20/2019
Last updated
04/08/2025
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