Alejandra Ibarra
Rehabilitation Practitioner in Los Angeles, CA. Individual provider (NPI-1).
NPI number1760159628
StatusActive
Last updated in NPPESNov 15, 2022
Details
- NPI
- 1760159628
- Entity type
- Individual (NPI-1)
- Name
- Alejandra Ibarra
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2021
- Certification date
- Nov 15, 2022
- Last updated
- Nov 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
8019 Compton AveLos Angeles, CA 90001-3409
Phone 323-586-7333
Mailing address
6551 Southside DrLos Angeles, CA 90022-5445
Phone 323-702-6860
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