Provider Demographics
NPI:1043516743
Name:CHRISTOPHER M. BARNARD M.D., A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:CHRISTOPHER M. BARNARD M.D., A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-648-8005
Mailing Address - Street 1:24571 SILVER CLOUD CT
Mailing Address - Street 2:#202
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6583
Mailing Address - Country:US
Mailing Address - Phone:831-648-8005
Mailing Address - Fax:831-648-7376
Practice Address - Street 1:24571 SILVER CLOUD CT
Practice Address - Street 2:#202
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6583
Practice Address - Country:US
Practice Address - Phone:831-648-8005
Practice Address - Fax:831-648-7376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48655174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty