Individual
ALISA RENAI BARNES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
623 W 6TH ST, LOS ANGELES, CA 90017-3201
(213) 629-4691
(213) 629-0758
Mailing address
623 W 6TH ST, LOS ANGELES, CA 90017-3201
(213) 629-4691
(213) 629-0758
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
9434T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0094341
—
CA
Enumeration date
01/23/2006
Last updated
07/08/2007
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