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NPI Code Detail

MEDICARE: PEDRO IBARRA-AMADOR

MEDICARE: PEDRO IBARRA-AMADOR
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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1982573101
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEDRO IBARRA-AMADOR
Provider Business Mailing Address
First Line : 225 ALTAIR AVE
Second Line :
City : LOMPOC
State : CA
Zip : 93436-1423
Country : US
Telephone Number : 805-415-4571
Fax Number :
Provider Business Practice Location Address
First Line : 225 ALTAIR AVE
Second Line :
City : LOMPOC
State : CA
Zip : 93436-1423
Country : US
Telephone Number : 805-415-4571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2025
Last Update Date : 01/06/2026

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Directions to “ PEDRO IBARRA-AMADOR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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