Healthcare Provider Details

I. General information

NPI: 1275064966
Provider Name (Legal Business Name): BRITTANY LEE BARGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3785 S PLAZA DR
SANTA ANA CA
92704-7463
US

IV. Provider business mailing address

3785 S PLAZA DR
SANTA ANA CA
92704-7463
US

V. Phone/Fax

Practice location:
  • Phone: 714-828-2000
  • Fax:
Mailing address:
  • Phone: 714-828-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number94167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: