Individual
DR. IVAN BRANDO TEVES AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1485 UNIVERSITY AVE STE B, RIVERSIDE, CA 92507-4497
(951) 405-8500
(951) 405-8555
Mailing address
1485 UNIVERSITY AVE STE B, RIVERSIDE, CA 92507-4497
(951) 405-8500
(951) 405-8555
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5245
CA
Other
Enumeration date
07/28/2013
Last updated
05/12/2022
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