Ybarra, Denise

Ybarra, Denise is an sole proprietor health care provider with primary practice located at 201 W Mill St , San Bernardino CA 92408-1403. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Ybarra, Denise can be contacted via phone (909) 388-5647.

Contact Information

Primary practice address
201 W Mill St San Bernardino CA 92408-1403
Phone: (909) 388-5647
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1518598879
LBN Legal business name Ybarra, Denise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2020
Last updated May 22nd, 2024 - about last year

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 1518598879 NPPES
California MEDICAID 175T00000X
California MEDICAID I518598879

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