Provider Demographics
NPI:1619100195
Name:HRIBAR, KAMBRIDGE PIRC (MD)
Entity Type:Individual
Prefix:
First Name:KAMBRIDGE
Middle Name:PIRC
Last Name:HRIBAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 S ELISEO DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2012
Mailing Address - Country:US
Mailing Address - Phone:415-295-7160
Mailing Address - Fax:888-960-2495
Practice Address - Street 1:1363 S ELISEO DR
Practice Address - Street 2:SUITE A
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-2012
Practice Address - Country:US
Practice Address - Phone:415-295-7160
Practice Address - Fax:888-960-2495
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97429207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA97429OtherCALIFORNIA MEDICAL LICENSE