Dr. Fernando Ibarra
Gastroenterologist
850 S Atlantic Blvd Suite # 101
Monterey Park
, California 91754-4730
Dr. Fernando Ibarra
Gastroenterologist
850 S Atlantic Blvd Suite # 101
Monterey Park
, California 91754-4730
(626) 284-2454
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Fernando Ibarra
- 850 S Atlantic Blvd Suite # 101
- Monterey Park, CA
- Zip : 91754-4730
- Fax : (626) 284-2454
- Phone : (626) 284-1350
Second Address
- Dr. Fernando Ibarra
- 850 S Atlantic Blvd Suite # 101
- Monterey Park, CA
- Zip : 91754-4730
- Fax : (626) 284-2454
- Phone : (626) 284-1350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | A38493 | CA |
National Provider Identifier
| NPI | 1013082726 |
|---|---|
| Provider Name | Dr. Fernando Ibarra |
| First Address | Monterey Park, CA 91754-4730 |
| Second Address | Monterey Park, CA 91754-4730 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2006 |
| Last Update Date | 01/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A24894 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.