Individual
RICHARD WILLIAM IVLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
3600 WILSHIRE BLVD STE 2200, LOS ANGELES, CA 90010-2632
(626) 381-9612
Mailing address
253 N SAN GABRIEL BLVD # 100, PASADENA, CA 91107-3429
(626) 577-8480
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-YXHUFN
CA
Other
Enumeration date
08/02/2024
Last updated
09/10/2024
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