Provider Demographics
NPI:1659451888
Name:IHRIG, SYBIL IRENE (LAC, DOM)
Entity Type:Individual
Prefix:
First Name:SYBIL
Middle Name:IRENE
Last Name:IHRIG
Suffix:
Gender:F
Credentials:LAC, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 EL NORTE PKWY SPC 186
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-2255
Mailing Address - Country:US
Mailing Address - Phone:760-752-0786
Mailing Address - Fax:
Practice Address - Street 1:456 E MISSION RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-1823
Practice Address - Country:US
Practice Address - Phone:760-752-0786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC-8645171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist