Provider Demographics
NPI:1962418533
Name:BARBER, VICTORIA L (MD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:L
Last Name:BARBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1850 SULLIVAN AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2223
Mailing Address - Country:US
Mailing Address - Phone:650-746-3236
Mailing Address - Fax:650-994-1155
Practice Address - Street 1:1850 SULLIVAN AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2223
Practice Address - Country:US
Practice Address - Phone:650-746-3236
Practice Address - Fax:650-994-1155
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG72492207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0208450001OtherMEDICARE NSC GROUP
CAZZZ32209ZOtherMEDICARE GROUP #
CA00G724920Medicaid
CA200036491OtherMEDICARE RAILROAD
CA00G724920Medicare PIN
CAZZZ32209ZOtherMEDICARE GROUP #