Ghanem-Ybarra, Gloria Jean
Ghanem-Ybarra, Gloria Jean is an sole proprietor health care provider with primary practice located at 32605 Highway 79 South Suite 202, Temecula CA 92592. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ghanem-Ybarra, Gloria Jean can be contacted via phone (760) 443-1355.Contact Information
Primary practice address
32605 Highway 79 South Suite 202
Temecula CA 92592
Phone: (760) 443-1355
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY19964 | California |
Profile Details
NPI number | 1679668040 |
---|---|
LBN Legal business name | Ghanem-Ybarra, Gloria Jean |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679668040 | NPPES |
California | Other | OPL199640 | TRICARE |
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