Provider Demographics
NPI:1174698534
Name:GIVELBER, ANNA ISAAK (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:ISAAK
Last Name:GIVELBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1504 CARLA RIDGE
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-271-3095
Mailing Address - Fax:
Practice Address - Street 1:7531 SANTA MONICA BLVD
Practice Address - Street 2:STE.201
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-6401
Practice Address - Country:US
Practice Address - Phone:323-850-1177
Practice Address - Fax:323-850-1093
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37606207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A376060Medicaid