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NPI Code Detail

MEDICARE: MRS. AZUCENA BAROCIO PA-C

MEDICARE: MRS. AZUCENA BAROCIO PA-C
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
1363AM0700XMedical Physician AssistantPA 18679CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA 18679OTHERCAPHYSICIAN ASSISTANT COMMITTEE

General Provider Information

NPI Number : 1255421186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AZUCENA BAROCIO PA-C
Provider Business Mailing Address
First Line : 2344 SIXTH STREET
Second Line :
City : BERKELEY
State : CA
Zip : 94710
Country : US
Telephone Number : 510-981-4125
Fax Number :
Provider Business Practice Location Address
First Line : 2023 VALE RD STE 107
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3891
Country : US
Telephone Number : 510-215-9092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 06/04/2013

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