Most Relevant Information
Provider Data
| NPI Number: | 1003004169 |
| Provider Name: | SUSAN LEE IVEY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | C43335 |
Most Important Dates
| Enumeration Date: | 10/12/2007 |
| Last Updated: | 10/12/2007 |
Provider Practice Location
2140 SHATTUCK AVE
10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPH
BERKELEY
CA
947041210
Practice Location Phone/Fax
| Phone: | 5106431883 |
| Fax: | 5106437976 |
Provider Mailing Location
131 EMERALD DR
DANVILLE
CA
945262426
Provider Mailing Phone/Fax
| Phone: | 9253628227 |
| Fax: | 9253628228 |
Suggested EMR
Family Practice EMR