Provider Demographics
NPI:1851362875
Name:BARATTA, ISABEL M (MD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:M
Last Name:BARATTA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3860 CALLE FORTUNADA
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4800
Mailing Address - Country:US
Mailing Address - Phone:858-636-4300
Mailing Address - Fax:858-636-4319
Practice Address - Street 1:765 MEDICAL CENTER CT
Practice Address - Street 2:SUITE # 210
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6600
Practice Address - Country:US
Practice Address - Phone:619-482-3090
Practice Address - Fax:619-482-7350
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2011-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG52701208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG52701OtherMD LICENSE