Basic Information
Provider Information
NPI: 1740576875
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNHOUSE
FirstName: MARLENE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HACHMANN
OtherFirstName: MARLENE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 583 HYGEIA AVE
Address2: APT. B
City: ENCINITAS
State: CA
PostalCode: 920242657
CountryCode: US
TelephoneNumber: 6193022902
FaxNumber:  
Practice Location
Address1: 10666 N TORREY PINES RD
Address2: -207W
City: LA JOLLA
State: CA
PostalCode: 920371027
CountryCode: US
TelephoneNumber: 8585548506
FaxNumber: 8585548506
Other Information
ProviderEnumerationDate: 06/28/2011
LastUpdateDate: 07/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD453801PAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XA127716CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207RC0200XA127716CAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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