Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | G87771 | CA |
N | 208200000X | Surgeon | G87771 | CA |
N | 208600000X | Surgeon | G87771 | CA |
N | 2086S0127X | Trauma Surgeon | G87771 | CA |
NPI | 1164624839 |
---|---|
Provider Name | Cristobal Barrios |
First Address | Los Angeles, CA 90051-0347 |
Second Address | Orange, CA 92868-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 08/07/2007 |