MEDICARE: DR. PHILIP L. BARRY MD

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	207X00000X	Orthopaedic Surgery Physician	G20534	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ47190Z	OTHER	CA	BLUE SHIELD OF CALIFORNIA
2	953173076	OTHER		AETNA
3	953173076	OTHER		CIGNA
4	953173076	OTHER		BLUE CROSS
5	953173076	OTHER		BLUE SHIELD
6	953173076	OTHER		UNITED
7	953173076	OTHER		AARP
8	953173076	OTHER		PHCS
9	953173076	OTHER		CCN
10	953173076	OTHER		HEALTHNET

General Provider Information

NPI Number	:	1255330775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP L. BARRY MD

Provider Business Mailing Address
First Line	:	227 WEST JANSS ROAD
Second Line	:	SUITE 320
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-1870
Country	:	US
Telephone Number	:	805-497-2500
Fax Number	:	805-497-2558

Provider Business Practice Location Address
First Line	:	227 W JANSS RD
Second Line	:	SUITE 320
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-1848
Country	:	US
Telephone Number	:	805-497-2500
Fax Number	:	805-497-2558

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	05/20/2010

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Directions to “ DR. PHILIP L. BARRY MD” Practice Location

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