NPI 1003004169

Susan Lee Ivey, MD

Practitioner Family Medicine Physician Berkeley, CA

Practice location

Address: 2140 Shattuck Ave 10th Floor, Health Research for Action, Uc-Berkeley Sph, Berkeley, CA 94704-1210
Phone: (510) 643-1883
Fax: (510) 643-7976
Mailing address: 131 Emerald Dr, Danville, CA 94526-2426

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence C43335 (CA)

Other Family Medicine providers in California →

Registry record

NPI: 1003004169
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2007
Record last updated: 12 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.