Healthcare Provider Details

I. General information

NPI: 1205090263
Provider Name (Legal Business Name): CALBIOTECH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10461 AUSTIN DR
SPRING VALLEY CA
91978-1524
US

IV. Provider business mailing address

10461 AUSTIN DR
SPRING VALLEY CA
91978-1524
US

V. Phone/Fax

Practice location:
  • Phone: 619-660-6162
  • Fax: 619-660-6970
Mailing address:
  • Phone: 619-660-6162
  • Fax: 619-660-6970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. NOORI BARKA
Title or Position: PRESIDENT
Credential: PH. D.
Phone: 619-660-6162