MEDICARE: ROBERTO LIMGENCO BARRETTO M.D.

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	207YP0228X	Pediatric Otolaryngology Physician	A81316	CA
2	207Y00000X	Otolaryngology Physician	A81316	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477552941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTO LIMGENCO BARRETTO M.D.

Provider Business Mailing Address
First Line	:	2412 N HIGHWOOD RD
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-6479
Country	:	US
Telephone Number	:	714-633-4020
Fax Number	:	714-633-4846

Provider Business Practice Location Address
First Line	:	1201 W LA VETA AVE
Second Line	:	STE. 311
City	:	ORANGE
State	:	CA
Zip	:	92868-4203
Country	:	US
Telephone Number	:	714-633-4020
Fax Number	:	714-633-4846

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	11/29/2021

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