Dr. Ivan Oreb Aispuro, MD

Emergency Medicine in Los Angeles, CA. Individual provider (NPI-1).

NPI number1962022707

StatusActive

Last updated in NPPESSep 18, 2025

Details

NPI: 1962022707
Entity type: Individual (NPI-1)
Name: Dr. Ivan Oreb Aispuro
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Apr 22, 2020
Certification date: Sep 18, 2025
Last updated: Sep 18, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - EMERGENCY MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	A186570	CA	Yes
207P00000X	Emergency Medicine	75738	AZ

Practice location

1200 N State Street
Gnh 1011
Los Angeles, CA 90032

Phone 323-409-7053

Mailing address

1200 N State Street
Gnh 1011
Los Angeles, CA 90032

Phone 323-409-7053

Is something wrong?

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