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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