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Sergio Ibarra, ATC, EMT
NPI 1902443518 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5500 Campanile Drive
San Diego, CA 92182 - Phone
- (619) 594-7652
- Fax
- (619) 594-7654
- Organisation at this address
- San Diego State University
San Diego State University
San Diego State University Student Health Services
San Diego State University Student Health ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 71
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Also registered as
- Athletic Trainer
Athletic Trainer - Licence states on file
- NY, NJ, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-02
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