Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 11742T | CA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 11742T | CA |
NPI | 1306988167 |
---|---|
Provider Name | Dr. Catherine Pearl Barker |
First Address | Los Angeles, CA 90049-6623 |
Second Address | Los Angeles, CA 90049-6623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 31/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
SD0117420 | (05) | CA |
U87317 | (02) |