Cavaliere, Ivan S.

Cavaliere, Ivan S. is an individual health care provider with primary practice located at 3400 Delta Fair Blvd , Antioch CA 94509-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cavaliere, Ivan S. can be contacted via phone (925) 779-5000.

Contact Information

Primary practice address
3400 Delta Fair Blvd Antioch CA 94509-4004
Phone: (925) 779-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A50661 California

Profile Details

NPI number 1174601231
LBN Legal business name Cavaliere, Ivan S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174601231 NPPES
California MEDICAID 00A506610

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