Provider Demographics
NPI:1154540151
Name:GIROUX, BARBARA LOUISE (CRNA, LAC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LOUISE
Last Name:GIROUX
Suffix:
Gender:F
Credentials:CRNA, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:8088 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-2254
Mailing Address - Country:US
Mailing Address - Phone:323-653-7673
Mailing Address - Fax:323-653-7674
Practice Address - Street 1:1301 20TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2050
Practice Address - Country:US
Practice Address - Phone:310-829-7792
Practice Address - Fax:310-829-4136
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10296171100000X
CA1223367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANA31538Medicare ID - Type Unspecified