Healthcare Provider Details

I. General information

NPI: 1316968456
Provider Name (Legal Business Name): BARROS MANAGEMENT CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 WILSHIRE BLVD SUITE 604
LOS ANGELES CA
90057-3519
US

IV. Provider business mailing address

2007 WILSHIRE BLVD SUITE 604
LOS ANGELES CA
90057-3519
US

V. Phone/Fax

Practice location:
  • Phone: 213-413-1125
  • Fax: 213-413-1125
Mailing address:
  • Phone: 213-413-1125
  • Fax: 213-413-1125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code246W00000X
TaxonomyCardiology Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN E. BARROS
Title or Position: CEO/PRESIDENT
Credential: RDCS,RVT,RDMS,CCT
Phone: 213-413-1125