Individual
DR. JASON EDWARD BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2320 BATH ST STE 113, SANTA BARBARA, CA 93105-4339
(805) 682-7984
Mailing address
DEPT LA 21613, PASADENA, CA 91185-1613
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A106983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1069830
BS OF CA
CA
05
—
1922365022
—
CA
Enumeration date
04/13/2012
Last updated
10/15/2024
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