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Phillip Ybarra, C053610518

NPI 1871798371 · on the registry since 2007

Practice

Address
31764 Casino Drive-300
Lake Elsinore, CA 92530
Phone
(951) 471-4645
Fax
(951) 471-4687

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YA0400X
Licence states on file
CA, NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-14
Status
Not present in the most recent federal file

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