Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY IVANCICH
Deactivated Sole ProprietorDR. LARRY IVANCICH is a Podiatrist healthcare provider located in EL MONTE, California. NPI 1912905472 is deactivated in the NPPES registry. Verify at CMS.
Podiatrist · EL MONTE, CA
This NPI has been deactivated.
The record was deactivated on March 15, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1912905472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (0.68493150684932 yrs)
- Last Updated
- Feb 25, 2008
- Deactivated
- Mar 15, 2006
- License
-
E3249 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11800 VALLEY BLVDEL MONTE, CA, 917323040Browse CA providers · Browse ZIP 91732
- Phone
- 6264012775
- Fax
- 6264019826
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in EL MONTE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL FORSLING | D.P.M. | 1487622361 |
| MR. ROBINSON B CASTILLO | DPM | 1154426682 |
| MICHAEL ARTIE ALBERICO | DPM | 1184718454 |
| DR. TRANG DUONG | — | 1407234644 |
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.