Provider Demographics
NPI:1033305198
Name:YBARRA CHIROPRACTIC INC
Entity Type:Organization
Organization Name:YBARRA CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:YBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:559-635-2225
Mailing Address - Street 1:1524 S MOONEY BLVD
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4442
Mailing Address - Country:US
Mailing Address - Phone:559-635-2225
Mailing Address - Fax:559-635-2225
Practice Address - Street 1:1524 S MOONEY BLVD
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4442
Practice Address - Country:US
Practice Address - Phone:559-635-2225
Practice Address - Fax:559-635-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADCO218400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1821149014OtherNPI INDIVIDUAL