Barrett, Ivan

Barrett, Ivan is an individual health care provider with primary practice located at 11500 Brookshire Ave , Downey CA 90241-4917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Barrett, Ivan can be contacted via phone (562) 904-5000.

Contact Information

Primary practice address
11500 Brookshire Ave Downey CA 90241-4917
Phone: (562) 904-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A24458 California

Profile Details

NPI number 1073571113
LBN Legal business name Barrett, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Aug 20th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073571113 NPPES
California MEDICAID 00A244580

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