Basic Information
| Provider Information | |||||||||
| NPI: | 1255054789 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARRO | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | ISIDRO | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 425 S LOS ROBLES AVE APT A | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911013229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055358308 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 S RAYMOND AVE | ||||||||
| Address2: | |||||||||
| City: | ALHAMBRA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 918013166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6265701606 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2022 | ||||||||
| LastUpdateDate: | 09/20/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.