Individual
DR. KIVA IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, DEPT. OF PATHOLOGY, LOS ANGELES, CA 90033-1029
(323) 409-7148
Mailing address
6709 LA TIJERA BLVD, #238, LOS ANGELES, CA 90045-2017
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A83405
CA
Other
Enumeration date
08/21/2007
Last updated
02/10/2010
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