Provider Demographics
NPI:1194885442
Name:GARCIA-BARAN, DYNELA LOUISE (MD, MPH)
Entity type:Individual
Prefix:MS
First Name:DYNELA
Middle Name:LOUISE
Last Name:GARCIA-BARAN
Suffix:
Gender:
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3835 N FREEWAY BLVD SUITE 100, SACRAMENTO CA 95834
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834
Mailing Address - Country:US
Mailing Address - Phone:916-576-7900
Mailing Address - Fax:
Practice Address - Street 1:4700 FALLS OF NEUSE RD STE 355
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6275
Practice Address - Country:US
Practice Address - Phone:855-501-1004
Practice Address - Fax:888-438-1446
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171000000X
NC2013-020332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No171000000XOther Service ProvidersMilitary Health Care Provider