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General NPI Number Information
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NPI Number | 1194074336
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Entity Type | Organization
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Legal Business Name | FELISE MAY G. BARTE M.D., INC
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 23928 LYONS AVENUE SUITE #204
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City | NEWHALL
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State | CA
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Zip | 91321-2452
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Country | US
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Telephone | 661-255-8320
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Fax | 661-255-0338
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Provider Business Mailing Address
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Address Line | PO BOX 220448 23642 LYONS AVE
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City | NEWHALL
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State | CA
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Zip | 91322
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Country | US
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Telephone | 661-255-8320
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Fax | 661-225-0338
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Authorized Official
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Title or Position | PRESIDENT
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Name | FELISE MAY GALAND BARTE
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Credential | MD
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Telephone | 661-255-8320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A121145
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License Number State | CA
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