Provider Demographics
NPI:1598936841
Name:BARRETT, AMANDA CLARICE (MD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:CLARICE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9333 E. IMPERIAL HIGHWAY
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242
Mailing Address - Country:US
Mailing Address - Phone:562-657-9000
Mailing Address - Fax:
Practice Address - Street 1:9333 E. IMPERIAL HWY
Practice Address - Street 2:DOWNEY MEDICAL CENTER
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242
Practice Address - Country:US
Practice Address - Phone:562-657-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA103266207P00000X
NC133551207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine