Provider Demographics
NPI:1184842429
Name:BARKLEY, DONALD ANDREW (RVT)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ANDREW
Last Name:BARKLEY
Suffix:
Gender:M
Credentials:RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3534 SANTA CARLOTTA ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91214-1115
Mailing Address - Country:US
Mailing Address - Phone:818-957-1652
Mailing Address - Fax:818-957-4672
Practice Address - Street 1:3534 SANTA CARLOTTA ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91214-1115
Practice Address - Country:US
Practice Address - Phone:818-957-1652
Practice Address - Fax:818-957-4672
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38581246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG045Medicare PIN