| Ivan S Baroya Md Inc | |
|
11858 Bernardo Plaza Ct Ste 210 San Diego CA 92128-2411 | |
| (951) 303-6588 | |
| (951) 303-6588 |
| Full Name | Ivan S Baroya Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11858 Bernardo Plaza Ct Ste 210, San Diego, California |
| Authorized Official Name and Position | Ivan Baroya (PRESIDENT) |
| Authorized Official Contact | 6196226916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan S Baroya Md Inc Po Box 1770 La Mesa CA 91944-1770 Ph: (619) 622-6916 | Ivan S Baroya Md Inc 11858 Bernardo Plaza Ct Ste 210 San Diego CA 92128-2411 Ph: (951) 303-6588 |
| NPI Number | 1942731005 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942731005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | A66801 (California) | Secondary |
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