MEDICARE: DR. BARBARA HENRIQUEZ 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
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1699977892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA HENRIQUEZ MD

Provider Business Mailing Address
First Line	:	2677 ZOE AVE STE 304
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-3699
Country	:	US
Telephone Number	:	323-346-0960
Fax Number	:

Provider Business Practice Location Address
First Line	:	2677 ZOE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4195
Country	:	US
Telephone Number	:	213-447-5343
Fax Number	:

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

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	02/21/2024

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