| Doctor Name: | PROF. ELAINE YBARRA |
| NPI Number: | 1033369657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.N. P. |
| License Number: | 446138 |
| Business Practice Address: | 17215 Studebaker Rd Ste 320 Suite #300 Cerritos, CA - 907032522 |
| Business Phone Number: | 5628608771 |
| Business Fax Number: | 5622076581 |
| Mailing Address: | 17215 Studebaker Rd Ste 320, Suite #300 CERRITOS |
| State: | CA |
| Postal Code: | 907032522 |
| Phone Number: | 5628608771 |
| Fax Number: | 5622076581 |
| NPI Enumeration Date: | 09/19/2008 |
| NPI Last Update Date: | 01/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 446138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |