Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 8077T | CA |
NPI | 1003903311 |
---|---|
Provider Name | Dr. Barbara B. Fineberg |
First Address | Irvine, CA 92603-3725 |
Second Address | Fountain Valley, CA 92708-6751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03000PBASD0080770 | BLUE SHEILD OF CALIFORNIA (01) | CA |
Y1668 | (02) | CA |