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NPI Code Detail

MEDICARE: VIRGINIA LYNN BARRETT M.D.

MEDICARE: VIRGINIA LYNN BARRETT 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
1207R00000XInternal Medicine PhysicianG35230CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-4526112OTHERCATAX ID

General Provider Information

NPI Number : 1750474557
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA LYNN BARRETT M.D.
Provider Business Mailing Address
First Line : 2025 E ROUTE 66
Second Line :
City : GLENDORA
State : CA
Zip : 91740-4670
Country : US
Telephone Number : 626-335-4610
Fax Number : 626-914-1051
Provider Business Practice Location Address
First Line : 2025 E ROUTE 66
Second Line :
City : GLENDORA
State : CA
Zip : 91740-4670
Country : US
Telephone Number : 626-335-4610
Fax Number : 626-914-1051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 02/13/2013

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