Ghanem-Ybarra, Gloria Jean

Ghanem-Ybarra, Gloria Jean is an sole proprietor health care provider with primary practice located at 32605 Highway 79 South Suite 202, Temecula CA 92592. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ghanem-Ybarra, Gloria Jean can be contacted via phone (760) 443-1355.

Contact Information

Primary practice address
32605 Highway 79 South Suite 202 Temecula CA 92592
Phone: (760) 443-1355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY19964 California

Profile Details

NPI number 1679668040
LBN Legal business name Ghanem-Ybarra, Gloria Jean
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1679668040 NPPES
California Other OPL199640 TRICARE

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