Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARISE LEANNE IVY, M.D.
Active Sole ProprietorDR. CHARISE LEANNE IVY, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in GLENDALE, California. NPI 1871668293 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · GLENDALE, CA
Registration Details
- NPI Number
- 1871668293
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2006 (19.776251846402 yrs)
- Last Updated
- May 19, 2016
- Licenses
-
242320 (MA)A86275 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 E CHEVY CHASE DR STE 401GLENDALE ADVENTIST MEDICAL CENTER SPINE INSTITUTEGLENDALE, CA, 912064153Browse CA providers · Browse ZIP 91206
- Phone
- 8188634451
- Fax
- 8188634984
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in GLENDALE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. AARON THOMAS SELZER | M.D. | 1063518678 |
| MISLYNNE ANITA CHARLES | MD | 1124198536 |
| MARINA MELKONOVA | PT | 1790964377 |
| SINA HAMIDI | P.T. | 1043578396 |
| KIMBERLY C. ROSS | MD, MBA | 1316362882 |
| MR. LORD CHRISTOPHER BAGACINA LARCENA | — | 1265932180 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.