Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G24408 | CA |
NPI | 1033148341 |
---|---|
Provider Name | Dr. Frank R Barta |
First Address | Glendale, CA 91207-2085 |
Second Address | Los Angeles, CA 90027-6005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 01/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G244081 | (05) | CA |
A90871 | (02) | CA |