Provider Demographics
NPI:1801216734
Name:BARAJAS, ANGELA LOPEZ (MS)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:LOPEZ
Last Name:BARAJAS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1308
Mailing Address - Street 2:
Mailing Address - City:OAK VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:93022-1308
Mailing Address - Country:US
Mailing Address - Phone:805-500-8441
Mailing Address - Fax:
Practice Address - Street 1:2110 BURNHAM RD
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-9706
Practice Address - Country:US
Practice Address - Phone:805-256-8120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-17
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner