Provider Demographics
NPI:1316968456
Name:BARROS MANAGEMENT CORP.
Entity type:Organization
Organization Name:BARROS MANAGEMENT CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARROS
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS,RVT,RDMS,CCT
Authorized Official - Phone:213-413-1125
Mailing Address - Street 1:2007 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 604
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-3519
Mailing Address - Country:US
Mailing Address - Phone:213-413-1125
Mailing Address - Fax:213-413-1125
Practice Address - Street 1:2007 WILSHIRE BLVD
Practice Address - Street 2:SUITE 604
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-3519
Practice Address - Country:US
Practice Address - Phone:213-413-1125
Practice Address - Fax:213-413-1125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Multi-Specialty
Not Answered2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
Not Answered2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG305Medicare ID - Type UnspecifiedPROVIDER NUMBER