Provider Demographics
NPI:1609177401
Name:BARTON H. UEKI, M.D. A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:BARTON H. UEKI, M.D. A PROFESSIONAL CORPORATION
Other - Org Name:BARTON H. UEKI, MLD A PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARTON
Authorized Official - Middle Name:HIROMI
Authorized Official - Last Name:UEKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-693-0756
Mailing Address - Street 1:12486 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1005
Mailing Address - Country:US
Mailing Address - Phone:562-693-0756
Mailing Address - Fax:562-693-2371
Practice Address - Street 1:12486 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1005
Practice Address - Country:US
Practice Address - Phone:562-693-0756
Practice Address - Fax:562-693-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA22592207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADZ973AOtherPTAN
CA1609177401OtherNPI
CA00A225920Medicaid
CA1609177401OtherNPI