Individual
BRIAN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-3075
(310) 267-9793
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN711690
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NP17701
CA
363L00000X
Nurse Practitioner
Primary
NP17701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RN711690
—
CA
Enumeration date
08/28/2006
Last updated
12/18/2019
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