Provider Demographics
NPI:1992403026
Name:BARRAZA, MARIA EUGENIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:EUGENIA
Last Name:BARRAZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8402 E HILLSDALE DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-2452
Mailing Address - Country:US
Mailing Address - Phone:714-595-8480
Mailing Address - Fax:
Practice Address - Street 1:1550 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-4624
Practice Address - Country:US
Practice Address - Phone:800-321-1593
Practice Address - Fax:909-370-4405
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95024172363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care