Provider Demographics
NPI:1306216726
Name:BARNARD, ZACHARY
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:BARNARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 512717
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-0717
Mailing Address - Country:US
Mailing Address - Phone:310-423-7900
Mailing Address - Fax:310-967-8591
Practice Address - Street 1:415 N CRESCENT DR STE 110
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-6807
Practice Address - Country:US
Practice Address - Phone:213-262-8787
Practice Address - Fax:704-997-1599
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA137359207T00000X
ORMD216433207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFB5469792OtherDEA