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NPI Code Detail

MEDICARE: JOHN L BARSTIS MD

MEDICARE:   JOHN L BARSTIS  MD
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
1207RH0003XHematology & Oncology PhysicianG39366CA

Other Identifiers

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

General Provider Information

NPI Number : 1528093085
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN L BARSTIS MD
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD
Second Line : SUITE 200
City : LOS ANGELES
State : CA
Zip : 90045-5632
Country : US
Telephone Number : 661-255-5350
Fax Number : 661-255-9907
Provider Business Practice Location Address
First Line : 23929 MCBEAN PKWY
Second Line : BLDG F STE 215
City : VALENCIA
State : CA
Zip : 91355-4466
Country : US
Telephone Number : 661-255-5350
Fax Number : 661-255-9907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 05/26/2010

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