Barone, Ilham G

Barone, Ilham G is an individual health care provider with primary practice located at 4644 Lincoln Blvd Ste 111 , Marina Del Rey CA 90292-6374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Barone, Ilham G can be contacted via phone (310) 306-6966.

Contact Information

Primary practice address
4644 Lincoln Blvd Ste 111 Marina Del Rey CA 90292-6374
Phone: (310) 306-6966
Fax: (310) 306-0667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G80362 California

Profile Details

NPI number 1184783920
LBN Legal business name Barone, Ilham G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184783920 NPPES
California MEDICAID GR0026910

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