Individual
DR. EDWARD VINCENT BARNES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
795 E 2ND ST, SUITE 4, POMONA, CA 91766-2007
(909) 706-3779
(909) 865-2955
Mailing address
309 E 2ND ST, SUITE 2215 OR 2255, POMONA, CA 91766-1854
(909) 469-8332
(909) 706-3780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A82407
CA
207RN0300X
Nephrology Physician
Primary
A82407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A82407
CA STATE
CA
01
—
DG529Y
MEDICARE SOUTHERN CALIFORNIA
CA
01
—
DG529Z
MEDICARE NORTHERN CALIFORNIA
CA
Enumeration date
10/24/2005
Last updated
10/01/2024
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