Basic Information
| Provider Information | |||||||||
| NPI: | 1629093927 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARKER | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3855 HEALTH SCIENCES DR | ||||||||
| Address2: | MAIL CODE 0987 | ||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920931503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8588226200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3855 HEALTH SCIENCES DR | ||||||||
| Address2: | MAIL CODE 0987 | ||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920931503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8588226200 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 07/16/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | G49044 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0003X | G49044 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RX0202X | G49044 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
ID Information
| ID | Type | State | Issuer | Description | 00G490440 | 05 | CA | MEDICAID |