Healthcare Provider Details

I. General information

NPI: 1508057837
Provider Name (Legal Business Name): BARRY R. HALPERN, A PROF CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18300 ROSCOE BLVD
NORTHRIDGE CA
91325-4105
US

IV. Provider business mailing address

PO BOX 2626
NORTH HILLS CA
91393-2626
US

V. Phone/Fax

Practice location:
  • Phone: 818-885-5300
  • Fax: 818-700-5631
Mailing address:
  • Phone: 818-882-3430
  • Fax: 818-882-2466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MISS JUDITH K BROWN
Title or Position: MEDICAL BILLING SPECIALIST
Credential:
Phone: 818-882-3430