MEDICARE: DR. PAMELA JOYCE BARRON D.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
1	111N00000X	Chiropractor	DC 16254	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC16254	OTHER	CA	PTAN
2	DC0162540	OTHER	CA	BLUE SHIELD
3	DC16254	OTHER	CA	CHIROPRACTIC LICENSE

General Provider Information

NPI Number	:	1427131937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA JOYCE BARRON D.C.

Provider Business Mailing Address
First Line	:	25409 NARBONNE AVE
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-2125
Country	:	US
Telephone Number	:	310-784-8844
Fax Number	:	310-530-1913

Provider Business Practice Location Address
First Line	:	25409 NARBONNE AVE
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-2125
Country	:	US
Telephone Number	:	310-784-8844
Fax Number	:	310-530-1913

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	01/02/2013

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