MEDICARE: LORNA M BARTE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	C50707	CA

General Provider Information

NPI Number	:	1154376762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORNA M BARTE M.D.

Provider Business Mailing Address
First Line	:	1601 CARMEN DRIVE
Second Line	:	SUITE 106
City	:	CAMARILLO
State	:	CA
Zip	:	93010-3103
Country	:	US
Telephone Number	:	805-389-8111
Fax Number	:	805-389-8188

Provider Business Practice Location Address
First Line	:	1601 CARMEN DRIVE
Second Line	:	SUITE 106
City	:	CAMARILLO
State	:	CA
Zip	:	93010-3103
Country	:	US
Telephone Number	:	805-389-8111
Fax Number	:	805-389-8188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/11/2016

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