Individual
NANCY J BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-2582
(323) 442-2588
Mailing address
2011 ZONAL AVE, SUITE 209, LOS ANGELES, CA 90089-0110
(323) 442-2582
(323) 442-2588
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G52555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G525550
BLUE SHIELD
CA
Enumeration date
07/31/2006
Last updated
10/01/2007
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