Provider Demographics
NPI:1659397792
Name:MARFLEET, BARRY R (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:R
Last Name:MARFLEET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1042 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-2111
Mailing Address - Country:US
Mailing Address - Phone:714-744-4044
Mailing Address - Fax:714-602-9224
Practice Address - Street 1:1042 E CHAPMAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-2111
Practice Address - Country:US
Practice Address - Phone:147-444-0447
Practice Address - Fax:714-602-9224
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25610207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA24610AMedicare PIN
CAE91357Medicare UPIN