Individual provider · NPI-1
Michele Barton, PA
Physician Assistant · Westminster, CA
NPI number1497906192
StatusActive
Last updated in NPPESMar 24, 2017
Details
- NPI
- 1497906192
- Entity type
- Individual (NPI-1)
- Name
- Michele Barton
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2008
- Last updated
- Mar 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA22966 | CA | Yes |
| 363AM0700X | Physician Assistant, Medical | 011257-1 | NY |
Practice location
14372 Beach Blvd.Westminster, CA 92683
Phone 516-965-1100
Mailing address
406 22nd StreetApt B
Huntington Beach, CA 92648
Phone 516-965-1100
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