Individual
MRS. ANNA SPIVAK SR.
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S FAIRFAX AVE, STE 202, LOS ANGELES, CA 90036-3148
(323) 933-0363
(323) 933-0363
Mailing address
425 S FAIRFAX AVE, STE 202, LOS ANGELES, CA 90036-3148
(323) 933-0363
(323) 933-0363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HA3437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0034370
—
CA
Enumeration date
12/27/2005
Last updated
07/08/2007
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