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Individual

MARIA ISABEL IBARDOLAZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
300 CONTINENTAL BLVD STE 560, EL SEGUNDO, CA 90245-5030
(310) 658-3775
Mailing address
300 CONTINENTAL BLVD., SUITE 560, HUNTINGTON BEACH, CA 92649-3248
(310) 658-3775

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95003734
CA
363LG0600X
Gerontology Nurse Practitioner
95003734
CA

Other

Enumeration date
07/08/2016
Last updated
07/22/2025
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