Basic Information
| Provider Information | |||||||||
| NPI: | 1346571833 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ASLAN | ||||||||
| FirstName: | IVY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 BRANNAN ST | ||||||||
| Address2: | APT 443 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941076001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176920879 | ||||||||
| FaxNumber: | 4154768214 | ||||||||
| Practice Location | |||||||||
| Address1: | 513 PARNASSUS AVE | ||||||||
| Address2: | ROOM S672D | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4153537337 | ||||||||
| FaxNumber: | 4154768214 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2010 | ||||||||
| LastUpdateDate: | 11/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | A99943 | CA | Y | Other Service Providers | Specialist |
No ID Information.