| Doctor Name: | MR. TIMOTHY DAWAYNE BARMORE |
| NPI Number: | 1033265285 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA15444 |
| Business Practice Address: | 390 N Sepulveda Blvd 1000 El Segundo, CA - 902454475 |
| Business Phone Number: | 3103436030 |
| Business Fax Number: | 3106409690 |
| Mailing Address: | 4727 W 147th St Apt 204, LAWNDALE |
| State: | CA |
| Postal Code: | 902601307 |
| Phone Number: | 3109779439 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA15444 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |