Individual
DONALD G. BARCELOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9600
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G29616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G296160
—
CA
Enumeration date
08/11/2006
Last updated
08/31/2007
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