Provider Demographics
NPI:1184860603
Name:BARRON, ALISTAIR OWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISTAIR
Middle Name:OWEN
Last Name:BARRON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 HARBOR DR
Mailing Address - Street 2:SUITE 2502
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-7049
Mailing Address - Country:US
Mailing Address - Phone:702-521-2180
Mailing Address - Fax:702-974-1385
Practice Address - Street 1:4550 KEARNY VILLA RD
Practice Address - Street 2:SUITE 116
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1578
Practice Address - Country:US
Practice Address - Phone:858-279-1223
Practice Address - Fax:619-516-4757
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA352652084P0804X
NV109232084P0804X
HI94772084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry