Ana Carolina Iribarren | Los Angeles, CA • PECOS Search

Ana Carolina Iribarren

Internal Medicine

Allopathic & Osteopathic Physicians

127 S San Vicente Blvd, Los Angeles, CA 90048-3311

(310) 382-4426 1310382442

PECOS Enrollment

Based on the most recent information from CMS, provider Ana Carolina Iribarren does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1043994619
Provider Type
Individual
Full Name
Iribarren, Ana Carolina
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/13/2023
Last Updated
6/15/2023

Contact Information

Practice Location

127 S San Vicente Blvd, Los Angeles, CA 90048-3311

Unlisted Fax

Mailing Location

2413 Mckinley Ave, Venice, CA 90291-4625

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RC0000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License SPI769 California