Individual
IVAN A. FRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
637 LUCAS AVE, SUITE 402, LOS ANGELES, CA 90017-1912
(213) 977-2435
(213) 481-1509
Mailing address
PO BOX 17959, LOS ANGELES, CA 90017-1912
(213) 977-2435
(213) 481-1509
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G76024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G760240
—
CA
Enumeration date
11/01/2006
Last updated
04/01/2011
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