Individual
BARBARA G VICKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 MEDICAL PLAZA, #B200, LOS ANGELES, CA 90095-0001
(310) 794-4195
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G64465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G644650
—
CA
Enumeration date
07/17/2006
Last updated
09/28/2012
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