Healthcare Provider Details

I. General information

NPI: 1306782164
Provider Name (Legal Business Name): DAVID M BARCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1733 STANFORD AVE
REDONDO BEACH CA
90278-2741
US

IV. Provider business mailing address

21143 HAWTHORNE BLVD # 286
TORRANCE CA
90503-4615
US

V. Phone/Fax

Practice location:
  • Phone: 480-225-4034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: