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General NPI Number Information
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NPI Number | 1447464912
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Entity Type | Individual
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Provider Name | IVAN CUBAS MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 629 THIRD AVE STE A
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City | CHULA VISTA
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State | CA
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Zip | 91910-5786
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Country | US
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Telephone | 619-489-5611
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Fax | 619-566-4057
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Provider Business Mailing Address
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Address Line | PO BOX 27015
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City | SAN DIEGO
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State | CA
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Zip | 92198-1015
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Country | US
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Telephone | 619-489-5611
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Fax | 619-566-4057
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C55825
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | PT21616
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License Number State | ND
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