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NPI Code Detail

MEDICARE: IVAN S BAROYA MD INC

MEDICARE: IVAN S BAROYA MD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/CenterA66801CA
22084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1942731005
Entity Type Code : Organization
Provider Name (Legal Business Name) : IVAN S BAROYA MD INC
Provider Business Mailing Address
First Line : PO BOX 1770
Second Line :
City : LA MESA
State : CA
Zip : 91944-1770
Country : US
Telephone Number : 619-622-6916
Fax Number : 951-303-6588
Provider Business Practice Location Address
First Line : 11858 BERNARDO PLAZA CT STE 210
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-2411
Country : US
Telephone Number : 951-303-6588
Fax Number : 951-303-6588
Authorized Official
Title or Position : PRESIDENT
Name : DR. IVAN BAROYA
Credential : M.D.
Telephone Number : 619-622-6916
Provider Enumeration Date : 03/21/2017
Last Update Date : 03/22/2019

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Practice Location Address:
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Practice Fax: 858-592-1495

Directions to “IVAN S BAROYA MD INC ” Practice Location

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