Provider Demographics
NPI:1275849705
Name:YBARRA, JULIA DORA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:DORA
Last Name:YBARRA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13237 GLADSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-3116
Mailing Address - Country:US
Mailing Address - Phone:818-362-2816
Mailing Address - Fax:
Practice Address - Street 1:13237 GLADSTONE AVE
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-3116
Practice Address - Country:US
Practice Address - Phone:818-362-2816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-21
Last Update Date:2010-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH38779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist