Individual
RON BARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103-2105
(805) 637-6016
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A128560
CA
Other
Enumeration date
04/06/2012
Last updated
06/23/2017
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