Healthcare Provider Details

I. General information

NPI: 1144293119
Provider Name (Legal Business Name): GEORGE BARNES JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23861 MCBEAN PKWY STE 16
VALENCIA CA
91355-2058
US

IV. Provider business mailing address

23845 MCBEAN PKWY
VALENCIA CA
91355-2001
US

V. Phone/Fax

Practice location:
  • Phone: 661-200-1525
  • Fax: 661-200-1534
Mailing address:
  • Phone: 661-253-8433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number037479
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number037479
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberG84187
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: