Dr. Susan Lee Ivey
Family Doctor
2140 Shattuck Ave 10th Floor, Health Research For Action, Uc-Berkeley Sph
Berkeley
, California 94704-1210
Dr. Susan Lee Ivey
Family Doctor
2140 Shattuck Ave 10th Floor, Health Research For Action, Uc-Berkeley Sph
Berkeley
, California 94704-1210
(925) 362-8228
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Susan Lee Ivey
- 131 Emerald Dr
- Danville, CA
- Zip : 94526-2426
- Fax : (925) 362-8228
- Phone : (925) 362-8227
Second Address
- Dr. Susan Lee Ivey
- 2140 Shattuck Ave 10th Floor, Health Research For Action, Uc-Berkeley Sph
- Berkeley, CA
- Zip : 94704-1210
- Fax : (510) 643-7976
- Phone : (510) 643-1883
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | C43335 | CA |
National Provider Identifier
| NPI | 1003004169 |
|---|---|
| Provider Name | Dr. Susan Lee Ivey |
| First Address | Danville, CA 94526-2426 |
| Second Address | Berkeley, CA 94704-1210 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2007 |
| Last Update Date | 12/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D87707 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.