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General NPI Number Information
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NPI Number | 1467401703
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Entity Type | Individual
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Provider Name | BARRY ALAN HENCH MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 26732 CROWN VALLEY PKWY SUITE 571
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6306
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Country | US
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Telephone | 949-364-8700
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Fax | 949-365-1011
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Provider Business Mailing Address
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Address Line | 3910 CARTA DE PLATA
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-3817
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Country | US
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Telephone | 949-290-5480
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G71932
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License Number State | CA
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