Dr. Mark A Barraza, D.C.
Chiropractor in Valencia, CA. Individual provider (NPI-1).
NPI number1104196898
StatusActive
Last updated in NPPESJan 11, 2012
Details
- NPI
- 1104196898
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark A Barraza
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2012
- Last updated
- Jan 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 32115 | CA | Yes |
Practice location
25201 Avenue TibbittsSuite 101
Valencia, CA 91355-3433
Phone 818-282-2090
Mailing address
11351 Bartee AveMission Hills, CA 91345-1213
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