Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | CA120702 | CA |
NPI | 1982922308 |
---|---|
Provider Name | Dr. Justin Harris Barad |
First Address | Los Angeles, CA 90049-5517 |
Second Address | Los Angeles, CA 90007-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2010 |
Last Update Date | 02/02/2020 |