Healthcare Provider Details

I. General information

NPI: 1578520409
Provider Name (Legal Business Name): BARRY RICHARD FLEISCHER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S STRATFORD AVE
SANTA MARIA CA
93454-5903
US

IV. Provider business mailing address

300 S STRATFORD AVE
SANTA MARIA CA
93454-5903
US

V. Phone/Fax

Practice location:
  • Phone: 805-739-3863
  • Fax: 805-614-2035
Mailing address:
  • Phone: 805-739-3863
  • Fax: 805-614-2035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number20A13740
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number20A13740
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: