Doctor Name: | JOHN BARKODAR |
NPI Number: | 1962680298 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A44541 |
Business Practice Address: | 3314 Firestone Blvd South Gate, CA - 902802938 |
Business Phone Number: | 3235674483 |
Business Fax Number: | 3235672647 |
Mailing Address: | 3314 Firestone Blvd, SOUTH GATE |
State: | CA |
Postal Code: | 902802938 |
Phone Number: | 3235674483 |
Fax Number: | 3235672647 |
NPI Enumeration Date: | 02/08/2008 |
NPI Last Update Date: | 02/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A44541 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |