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Organization

DR. RODNEY BARRON MEDICAL CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODNEY STEPHEN BARRON M.D. (DIRECTOR)
(323) 664-4114
Entity
Organization

Contact information

Practice address
1211 N VERMONT AVE, SUITE 205, LOS ANGELES, CA 90029-1748
(323) 664-4114
(323) 664-4044
Mailing address
1211 N VERMONT AVE, SUITE 205, LOS ANGELES, CA 90029-1748
(323) 664-4114
(323) 664-4144

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
208800000X
Urology Physician
208D00000X
General Practice Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G40052
STATE
CA
Enumeration date
11/24/2009
Last updated
07/01/2010
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