MEDICARE: MARIAN MAKAR BAREH 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	207QA0505X	Adult Medicine Physician	A94632	CA

General Provider Information

NPI Number	:	1518184241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAN MAKAR BAREH M.D.

Provider Business Mailing Address
First Line	:	8 HOLLY ST
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-2806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 E 4TH ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3910
Country	:	US
Telephone Number	:	714-967-4766
Fax Number	:

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	12/01/2021

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