Individual
DR. RICHARD R BARAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 VISTA WAY, STE B, OCEANSIDE, CA 92056-3752
(760) 967-9900
(760) 967-6769
Mailing address
9610 GRANITE RIDGE DR, SUITE B, SAN DIEGO, CA 92123-2684
(858) 810-8000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G52074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA156007
NO. CALIFORNIA PTAN
CA
01
—
CB226114
SO. CALIFORNIA PTAN
CA
01
—
G52074
CA LICENSE
CA
Enumeration date
07/13/2005
Last updated
09/18/2015
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