MEDICARE: BARROS MANAGEMENT CORP.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2471S1302X	Sonography Radiologic Technologist
2	2471V0105X	Vascular Sonography Radiologic Technologist
3	246W00000X	Cardiology Technician

General Provider Information

NPI Number	:	1316968456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARROS MANAGEMENT CORP.

Provider Business Mailing Address
First Line	:	2007 WILSHIRE BLVD
Second Line	:	SUITE 604
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3519
Country	:	US
Telephone Number	:	213-413-1125
Fax Number	:	213-413-1125

Provider Business Practice Location Address
First Line	:	2007 WILSHIRE BLVD
Second Line	:	SUITE 604
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3519
Country	:	US
Telephone Number	:	213-413-1125
Fax Number	:	213-413-1125

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MR. JUAN E. BARROS
Credential	:	RDCS,RVT,RDMS,CCT
Telephone Number	:	213-413-1125

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	09/11/2025

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