Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | A132634 | CA |
Y | 2081P2900X | Pain Medicine | A132634 | CA |
NPI | 1093150963 |
---|---|
Provider Name | Gabriel Barnard |
First Address | Marina Del Rey, CA 90292-6905 |
Second Address | Santa Monica, CA 90404-2230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2013 |
Last Update Date | 23/02/2021 |