Individual
ANTHONY GEORGE BARATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6728 FAIR OAKS BLVD, 300, CARMICHAEL, CA 95608-3827
(916) 979-0716
(916) 979-0108
Mailing address
15520 ROCKFIELD BLVD, STE A200, IRVINE, CA 92618-6705
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417126293
GROUP NPI
CA
01
—
DC0240811
INDIVIDUAL PTAN
CA
01
—
DC24081
CHIROPRACTIC LICENSE
CA
01
—
ZZZ07746Z
GROUP PTAN
CA
Enumeration date
03/29/2007
Last updated
04/17/2020
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