Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A103265 | CA |
N | 111NI0900X | Internist | A103265 | CA |
Y | 207RA0401X | Internist - Addiction Medicine | 2012042 | CA |
NPI | 1457588964 |
---|---|
Provider Name | Angella Barr |
First Address | Sacramento, CA 95825-6580 |
Second Address | Sacramento, CA 95825-6724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 24/01/2018 |