Healthcare Provider Details

I. General information

NPI: 1851561542
Provider Name (Legal Business Name): EFREN D BARIA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54-288 KAWAIPUNA PLACE
HAUULA HI
96717
US

IV. Provider business mailing address

PO BOX 447
HAUULA HI
96717-0447
US

V. Phone/Fax

Practice location:
  • Phone: 808-293-4129
  • Fax: 808-293-1425
Mailing address:
  • Phone: 808-293-4129
  • Fax: 808-293-1425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: EFREN D BARIA
Title or Position: OWNER HAUULA MEDICAL BILLING CO
Credential: MD
Phone: 808-293-4129