Healthcare Provider Details

I. General information

NPI: 1891865887
Provider Name (Legal Business Name): MS. BARBARA D. JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 WILSHIRE BLVD. GOOD SAMARITAN HOSPTIAL, 8 NORTH, NICU,
LOS ANGELES CA
90017-2395
US

IV. Provider business mailing address

1225 WILSHIRE BLVD GOOD SAMARITAN HOSPITAL, 8 NORTH, NICU
LOS ANGELES CA
90017-1901
US

V. Phone/Fax

Practice location:
  • Phone: 213-977-4123
  • Fax:
Mailing address:
  • Phone: 626-791-8623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA 11800
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: