Ybarra, Phillip F

Ybarra, Phillip F is an individual health care provider with primary practice located at 31764 Casino Drive-300 , Lake Elsinore CA 92530-7428. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Ybarra, Phillip F can be contacted via phone (951) 471-4645.

Contact Information

Primary practice address
31764 Casino Drive-300 Lake Elsinore CA 92530-7428
Phone: (951) 471-4645
Fax: (951) 471-4687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C053610518 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1871798371
LBN Legal business name Ybarra, Phillip F
Credentials C053610518
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871798371 NPPES
California Other 4386 SIMON STAFF NUMBER

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