Individual
VARSHA IVANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1800 SULLIVAN AVE, DALY CITY, CA 94015-2228
(650) 755-3338
Mailing address
1800 SULLIVAN AVE, DALY CITY, CA 94015-2228
(650) 755-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5910
CA
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
03/23/2020
Last updated
09/24/2024
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