Individual
IVAR MAC SZPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2888 LONG BEACH BLVD, SUITE 240, LONG BEACH, CA 90806-1530
(562) 595-7696
(562) 490-3846
Mailing address
2888 LONG BEACH BLVD, SUITE 240, LONG BEACH, CA 90806-1530
(562) 595-7696
(562) 490-3846
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G39971
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G399710
—
CA
01
—
W19727
GROUP ID
CA
01
—
WG39971A
PPIN
CA
Enumeration date
05/20/2006
Last updated
04/19/2011
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