HealthDirectory.us

Rodolfo Ibarra

• Male

Medical Specialty

• Internal Medicine

Professional ID

• NPI: 1376566323
• PECOS ID: 5698818870
• Enrollment ID: I20100210000500
• Credential(MD, DO, DPM):
• Medical School: University Of California Ucla School Of Medicine
• Medical School Graduation Year: 1984

Hospital Service

• Hospital CCN1: 050485
• Business Name (LBN)1: Long Beach Memorial Medical Center
• Hospital CCN2: 050191
• Business Name (LBN)2: St Mary Medical Center
• Hospital CCN3: 050551
• Business Name (LBN)3: Los Alamitos Medical Center

Medical Practices

• Organization Name: Prohealth Partners, A Medical Group
• Group Practice ID assigned by PECOS: 2769388412
• Number of Group Practice member: 138

Location

• Address1: 3816 Woodruff Ave
• Address2:
• City: Long Beach
• State: California
• Zip Code: 90808
• Phone Number:

Location

• Address1: 911 E San Antonio Dr
• Address2:
• City: Long Beach
• State: California
• Zip Code: 90807
• Phone Number:

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
• Used Electronic health record (EHR): Yes