SearchCalifornia213ES0103X

Jonathan Ibanez, DPM

NPI 1679344295 · on the registry since 2024 · sole proprietor

Practice

Address
11201 Benton St
Loma Linda, CA 92357
Phone
(909) 825-7084
Organisation at this address
Loma Linda Vamc
Loma Linda Vamc
Va Medical Center
Va Loma Linda Med Ctr
Loma Linda Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
833

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California