Healthcare Provider Details

I. General information

NPI: 1609982115
Provider Name (Legal Business Name): EFREN P BARIA JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 CESAR CHAVEZ
SAN FRANCISCO CA
94110-4403
US

IV. Provider business mailing address

PO BOX 1622
ORANGE CA
92856-0622
US

V. Phone/Fax

Practice location:
  • Phone: 415-641-6889
  • Fax:
Mailing address:
  • Phone: 866-740-7029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number20A9188
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: