Healthcare Provider Details

I. General information

NPI: 1407286503
Provider Name (Legal Business Name): ELIZABETH BARRERA D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 CAMINO DEL RIO S STE 107
SAN DIEGO CA
92108-3718
US

IV. Provider business mailing address

806 HILBERT DR
FALLBROOK CA
92028-1624
US

V. Phone/Fax

Practice location:
  • Phone: 619-202-5276
  • Fax:
Mailing address:
  • Phone: 619-202-5276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP60560271
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number13046
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberOP60560271
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: