Diaz-Ibarra, Aide

Diaz-Ibarra, Aide is an individual health care provider with primary practice located at 1000 Goodrich Blvd # 114 , Commerce CA 90022-5103. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Diaz-Ibarra, Aide can be contacted via phone (323) 832-9795.

Contact Information

Primary practice address
1000 Goodrich Blvd # 114 Commerce CA 90022-5103
Phone: (323) 832-9795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1073644274
LBN Legal business name Diaz-Ibarra, Aide
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
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 1073644274 NPPES
California Other ENK 1808 L.A DEPT OF MENTAL HEALTH

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