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Dr. Katrina Tan Ibonia, MD
Neonatal-Perinatal Medicine Physician in Madera, California
NPI 1811200124

Katrina Tan Ibonia is a Neonatal-Perinatal Medicine Physician based in Visalia, CA and is specialized in Neonatal-Perinatal Medicine. Katrina Tan Ibonia practices in Madera, CA and has the professional credentials of MD. The NPI Number for Katrina Tan Ibonia is 1811200124 and holds a License No. 45903 (California).

The current practice location address for Katrina Tan Ibonia is 9300 Valley Childrens Pl # Se21, Madera, CA and can be reached out via phone at 559-353-8769 and via fax at 559-353-5580.

Location: 9300 Valley Childrens Pl # Se21, Madera, CA, 93291-4791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811200124
Provider Name
Katrina Tan Ibonia
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
9300 Valley Childrens Pl # Se21, Madera, CA, 93291-4791
Phone Number
559-353-8769
Fax Number
559-353-5580
Provider Enumeration Date
07/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9300 Valley Childrens Pl # Se21
City
Madera
State
California
Zip
93636-8762
Phone Number
559-353-8769
Fax Number
559-353-5580
person
Provider Business Mailing Address Details
Address
9300 Valley Childrens Pl # Se21
City
Madera
State
California
Zip
93636-8762
Phone Number
559-353-8769
Fax Number
559-353-5580
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
M-2029 ()
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
45903 (Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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