Provider Demographics
NPI:1891865887
Name:JONES, BARBARA D
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:D
Last Name:JONES
Suffix:
Gender:F
Credentials:
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1225 WILSHIRE BLVD
Mailing Address - Street 2:GOOD SAMARITAN HOSPITAL, 8 NORTH, NICU
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-1901
Mailing Address - Country:US
Mailing Address - Phone:626-791-8623
Mailing Address - Fax:
Practice Address - Street 1:1225 WILSHIRE BLVD.
Practice Address - Street 2:GOOD SAMARITAN HOSPTIAL, 8 NORTH, NICU,
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-2395
Practice Address - Country:US
Practice Address - Phone:213-977-4123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA 11800363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant