MEDICARE: JOSHUA RYAN BARNHART B.S, M.S

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	170300000X	Genetic Counselor (M.S.)	GC001243	CA

General Provider Information

NPI Number	:	1639794076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA RYAN BARNHART B.S, M.S

Provider Business Mailing Address
First Line	:	133 LA CASA VIA STE 140
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3005
Country	:	US
Telephone Number	:	925-941-4092
Fax Number	:	925-952-2758

Provider Business Practice Location Address
First Line	:	133 LA CASA VIA STE 140
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3005
Country	:	US
Telephone Number	:	925-941-4092
Fax Number	:	925-952-2758

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

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	06/11/2020

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