Provider Demographics
NPI:1740550268
Name:BARISH, CAROLE LUBY (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:LUBY
Last Name:BARISH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2545 HIDDEN VALLEY PL
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4019
Mailing Address - Country:US
Mailing Address - Phone:858-459-6520
Mailing Address - Fax:858-459-6520
Practice Address - Street 1:2545 HIDDEN VALLEY PL
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4019
Practice Address - Country:US
Practice Address - Phone:858-459-6520
Practice Address - Fax:858-459-6520
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-01
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAGFE23805208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics