Ibanez, Lisa Marie

Ibanez, Lisa Marie is an individual health care provider with primary practice located at 8735 Carron Dr , Pico Rivera CA 90660-3448. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ibanez, Lisa Marie can be contacted via phone (562) 692-0383.

Contact Information

Primary practice address
8735 Carron Dr Pico Rivera CA 90660-3448
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1841451648
LBN Legal business name Ibanez, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Jun 24th, 2008 - about 16 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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