MEDICARE: DRBAR APC.

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	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician

General Provider Information

NPI Number	:	1366066680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRBAR APC.

Provider Business Mailing Address
First Line	:	2865 E COAST HWY STE 150
Second Line	:
City	:	CORONA DEL MAR
State	:	CA
Zip	:	92625-2256
Country	:	US
Telephone Number	:	949-706-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	2865 E COAST HWY STE 150
Second Line	:
City	:	CORONA DEL MAR
State	:	CA
Zip	:	92625-2256
Country	:	US
Telephone Number	:	949-706-1212
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IMAN ABDEL BAR
Credential	:	M.D.
Telephone Number	:	949-706-1212

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	07/01/2020

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