Provider Demographics
NPI:1972600260
Name:BARBOSA, ELISABETH MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:MITCHELL
Last Name:BARBOSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELISABETH
Other - Middle Name:HEWITT
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2361 E VINEYARD AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2102
Mailing Address - Country:US
Mailing Address - Phone:805-981-3770
Mailing Address - Fax:
Practice Address - Street 1:2361 E VINEYARD AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2102
Practice Address - Country:US
Practice Address - Phone:805-981-3770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238847207Y00000X
CAAFE94789207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology