Kabaivanoff, Debra L

Kabaivanoff, Debra L is an individual health care provider with primary practice located at 4420 W Sarah St #26, Burbank CA 91505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kabaivanoff, Debra L can be contacted via phone (818) 561-4062.

Contact Information

Primary practice address
4420 W Sarah St #26 Burbank CA 91505
Phone: (818) 561-4062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3304052 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19585 California

Profile Details

NPI number 1831198597
LBN Legal business name Kabaivanoff, Debra L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Feb 5th, 2013 - about 13 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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