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NPI Code Detail

MEDICARE: MS. YOLANDA BARBOSA

MEDICARE: MS. YOLANDA BARBOSA
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
1174400000XSpecialist

General Provider Information

NPI Number : 1427192640
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YOLANDA BARBOSA
Provider Business Mailing Address
First Line : 1133 HARRISON ST APT 1
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94577-4547
Country : US
Telephone Number : 510-798-2228
Fax Number :
Provider Business Practice Location Address
First Line : 2620 26TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1907
Country : US
Telephone Number : 510-437-2363
Fax Number : 510-437-2366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 07/08/2007

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Directions to “ MS. YOLANDA BARBOSA ” Practice Location

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