Ibarra, Liliana
Ibarra, Liliana is an sole proprietor health care provider with primary practice located at 2063 S Atlantic Blvd , Monterey Park CA 91754-6344. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ibarra, Liliana can be contacted via phone (323) 265-4373.Contact Information
Primary practice address
2063 S Atlantic Blvd
Monterey Park CA 91754-6344
Phone: (323) 265-4373
Fax: (323) 265-1024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 39814 | California |
Profile Details
| NPI number | 1982740940 |
|---|---|
| LBN Legal business name | Ibarra, Liliana |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982740940 | NPPES |
| California | MEDICAID | B3981401 |
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