Provider Demographics
NPI:1306433271
Name:BARBA, SEBASTIAN MAXIMILIANO
Entity type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:MAXIMILIANO
Last Name:BARBA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19092 SLOOP CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2366
Mailing Address - Country:US
Mailing Address - Phone:805-698-1883
Mailing Address - Fax:
Practice Address - Street 1:19092 SLOOP CIR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2366
Practice Address - Country:US
Practice Address - Phone:805-698-1883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic