Provider Demographics
NPI:1316417512
Name:BARKA, SAHER
Entity Type:Individual
Prefix:
First Name:SAHER
Middle Name:
Last Name:BARKA
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 1:701 LYNNPLACE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-5390
Mailing Address - Country:US
Mailing Address - Phone:619-212-5360
Mailing Address - Fax:
Practice Address - Street 1:1000 BILLINGS ST APT B
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-7688
Practice Address - Country:US
Practice Address - Phone:619-212-5360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-29
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)