Individual
MICHAEL IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 FOUNTAINHEAD # 534, IRVINE, CA 92618-0802
(323) 921-2592
Mailing address
100 FOUNTAINHEAD # 534, IRVINE, CA 92618-0802
(323) 921-2592
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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