MR. Mario Joseph Ibarra

NPI #1093499733 in Orange, California

Provider Information

NPI Number: 1093499733
Entity Type: Individual
Name: MR. Mario Joseph Ibarra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 13, 2023
Last Updated: Jun 13, 2023

Practice Location

Address: 401 S TUSTIN ST
City: Orange
State: California
ZIP Code: 92866-2550
Phone: (714) 361-4860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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