Provider Demographics
NPI:1023243904
Name:PARKER, BARBARA (DPOII)
Entity type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:DPOII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-3289
Mailing Address - Country:US
Mailing Address - Phone:310-260-3541
Mailing Address - Fax:310-395-7971
Practice Address - Street 1:9150 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2835
Practice Address - Country:US
Practice Address - Phone:562-940-3694
Practice Address - Fax:562-940-7425
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator