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:
Health care specialties
Specialty | Code | License # | 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 4 months 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 | 1518598879 | NPPES |
California | MEDICAID | 175T00000X | |
California | MEDICAID | I518598879 |
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