MEDICARE: MR. DONALD ANDREW BARKLEY RVT

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	246XC2903X	Vascular Specialist/Technologist Cardiovascular	38581	CA

General Provider Information

NPI Number	:	1184842429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD ANDREW BARKLEY RVT

Provider Business Mailing Address
First Line	:	3534 SANTA CARLOTTA ST
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91214-1115
Country	:	US
Telephone Number	:	818-957-1652
Fax Number	:	818-957-4672

Provider Business Practice Location Address
First Line	:	3534 SANTA CARLOTTA ST
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91214-1115
Country	:	US
Telephone Number	:	818-957-1652
Fax Number	:	818-957-4672

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	06/13/2008

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Directions to “ MR. DONALD ANDREW BARKLEY RVT” Practice Location

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