Carol Ann Barnes-Blanks, MD
Family Medicine in Lake Forest, CA. Individual provider (NPI-1).
NPI number1720009152
StatusActive
Last updated in NPPESMay 16, 2018
Details
- NPI
- 1720009152
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carol Ann Barnes-Blanks
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2006
- Last updated
- May 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A46666 | CA | Yes |
Practice location
23672 Birtcher Dr Unit ALake Forest, CA 92630-1711
Phone 949-770-7301 · Fax 949-770-0634
Mailing address
23672 Birtcher Dr Unit ALake Forest, CA 92630-1711
Phone 949-770-7301 · Fax 949-770-0634
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