Liliana Ibarra a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

39814 Issued in CA

Legal business name

LILIANA IBARRA A PROFESSIONAL CORPORATION

Practice address

2063 S Atlantic Blvd Ste D
Monterey Park, CA 91754-6345

Phone

(323) 265-4373

NPI assigned

Sep 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Liliana Ibarra, DDS

Title

Owner/Dentist

Phone

(323) 265-4373

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1962871285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 MOUNTAIN VIEW AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074618",
            "telephone_number": "626-616-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 S ATLANTIC BLVD STE D",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546345",
            "telephone_number": "323-265-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIANA IBARRA A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "323-265-4373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3981401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hung-CHI Liao, L.AC.
• Jeng-Jong Liao, MD
• Tiffany Lieu Phan, OD
• Lifestyle Chiropractic & Sports Performance, a Camacho Corp.
• Lightning Anesthesia Nursing Services, P.C.
• Lily Medical Equipment Supplier, Inc.
• Hugo Lim
• Anney Lin
• Berwyn J.C. Lin, M.D.
• Catherine Lin, DO

• Dentist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.