Individual
ANGELICA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10316 WOODLEY AVE, GRANADA HILLS, CA 91344-6916
(818) 368-5651
(818) 363-4770
Mailing address
10316 WOODLEY AVE, GRANADA HILLS, CA 91344-6916
(818) 368-5651
(818) 363-4770
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
20981
CA
Other
Enumeration date
07/16/2010
Last updated
01/08/2014
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