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NPI Code Detail

MEDICARE: JONATHAN BARCLAY MD

MEDICARE:   JONATHAN  BARCLAY  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
12085R0202XDiagnostic Radiology PhysicianA159070CA

General Provider Information

NPI Number : 1871014829
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN BARCLAY MD
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 757 WESTWOOD PLZ
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-4122
Country : US
Telephone Number : 310-267-9593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2017
Last Update Date : 07/21/2022

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Directions to “ JONATHAN BARCLAY MD” Practice Location

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