Provider Demographics
NPI:1760972467
Name:IRIBARREN, FRANCISCO JAVIER (MSW-PSYD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:IRIBARREN
Suffix:
Gender:M
Credentials:MSW-PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 VETERAN AVE APT 404
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-1997
Mailing Address - Country:US
Mailing Address - Phone:310-430-5632
Mailing Address - Fax:
Practice Address - Street 1:8383 WILSHIRE BLVD STE 800
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:323-456-8686
Practice Address - Fax:323-544-6186
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY30012103TC1900X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling