Organization
AVIVA IOFEL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA RAMIREZ (COLLECTOR/BILLER)
(323) 465-1111
Entity
Organization
Contact information
Practice address
6234 FOUNTAIN AVE UNIT B, LOS ANGELES, CA 90028-8214
(323) 465-1111
(323) 465-5317
Mailing address
6234 FOUNTAIN AVE UNIT B, LOS ANGELES, CA 90028-8214
(323) 465-1111
(323) 465-5317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A53495
LIC#
CA
Enumeration date
05/12/2019
Last updated
05/12/2019
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