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Organization
YORBA LINDA FAMILY PHYSICIANS, A MEDICAL GROUP, INC.
Active
Organization
YORBA LINDA FAMILY PHYSICIANS, A MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BARKER M.D. (PRESIDENT)
(714) 646-8000
Entity
Organization
Contact information
Practice address
18300 YORBA LINDA BLVD, SUITE 201, YORBA LINDA, CA 92886-4052
(714) 577-6000
(714) 572-2562
Mailing address
18200 YORBA LINDA BLVD, SUITE 401, YORBA LINDA, CA 92886-4056
(714) 646-8000
(714) 572-2562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
363AM0700X
Medical Physician Assistant
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0954510
CLIA NUMBER
CA
05
—
GR0083290
—
CA
01
—
ZZZ56875Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/31/2006
Last updated
04/10/2015
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