| Ian Bare Md, Inc. | |
|
805 W La Veta Ave Suite 103 Orange CA 92868-3901 | |
| (714) 997-8911 | |
| (714) 997-4911 |
| Full Name | Ian Bare Md, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 805 W La Veta Ave, Orange, California |
| Authorized Official Name and Position | Ian Bare (OWNER) |
| Authorized Official Contact | 7149978911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Bare Md, Inc. Po Box 2365 Mission Viejo CA 92690-0365 Ph: (714) 997-8911 | Ian Bare Md, Inc. 805 W La Veta Ave Suite 103 Orange CA 92868-3901 Ph: (714) 997-8911 |
| NPI Number | 1861643215 |
|---|---|
| Provider Enumeration Date | 10/03/2008 |
| Last Update Date | 10/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861643215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A80711 (California) | Primary |
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