Individual
GARY T BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 WILSHIRE BLVD, LOS ANGELES, CA 90057-3507
(213) 568-9363
Mailing address
214 MAIN ST, #133, EL SEGUNDO, CA 90245-3803
(213) 568-9363
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
95623654
CA
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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