Provider Demographics
NPI:1427131937
Name:BARRON, PAMELA JOYCE (DC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:JOYCE
Last Name:BARRON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25409 NARBONNE AVE
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-2125
Mailing Address - Country:US
Mailing Address - Phone:310-784-8844
Mailing Address - Fax:310-530-1913
Practice Address - Street 1:25409 NARBONNE AVE
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-2125
Practice Address - Country:US
Practice Address - Phone:310-784-8844
Practice Address - Fax:310-530-1913
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 16254111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC16254OtherPTAN
CADC0162540OtherBLUE SHIELD
CADC16254OtherCHIROPRACTIC LICENSE