Sergio Ibanez's National Provider Identifier (NPI) Details
Sergio Ibanez, CM
NPI: 1972021152
Enumeration Date: 2017-09-07
Last updated: 2024-11-07
Sole Proprietor: NO
Status: active
Postal Address: 3025 BEYER BLVD STE E-101, SAN DIEGO, CA
Phone: 619-662-4100
Primary Practice Address: 1275 30TH ST, SAN DIEGO, CA
Practice's phone: 619-662-4100