MEDICARE: DR. ROBERT A. BARNES 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
1	2085R0202X	Diagnostic Radiology Physician	C25728	CA

General Provider Information

NPI Number	:	1891856068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A. BARNES M.D.

Provider Business Mailing Address
First Line	:	3840 MOUND VIEW AVE
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-3630
Country	:	US
Telephone Number	:	818-763-7747
Fax Number	:	818-763-7747

Provider Business Practice Location Address
First Line	:	3840 MOUND VIEW AVE.
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-3630
Country	:	US
Telephone Number	:	818-763-7747
Fax Number	:	818-763-7747

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	05/03/2011

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