Individual provider · Type 1 NPI

Juan M. Ibarra

Rehabilitation Practitioner · Culver City, CA

NPI number 1679916449 Active

Practice location

9808 Venice Blvd, Suite 700
Culver City, CA 90232-2732

Fax (310) 945-3356

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1679916449

Juan M. Ibarra's National Provider Identifier is 1679916449, issued on Apr 11, 2013. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Culver City, CA. The record was last updated on Apr 11, 2013.