Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | G 36952 | CA |
Y | 208D00000X | General Practice Physician | G36952 | CA |
NPI | 1184657231 |
---|---|
Provider Name | Jeffrey J Barigian |
First Address | Fresno, CA 93729 |
Second Address | Oakhurst, CA 93644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 15/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A 46680 | (02) | CA |