Provider Demographics
NPI:1295797439
Name:BARBER, DONALD WHITNEY JR (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WHITNEY
Last Name:BARBER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1809 VERDUGO BLVD
Mailing Address - Street 2:#200
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208
Mailing Address - Country:US
Mailing Address - Phone:818-790-4730
Mailing Address - Fax:818-790-2816
Practice Address - Street 1:1809 VERDUGO BLVD
Practice Address - Street 2:#200
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208
Practice Address - Country:US
Practice Address - Phone:818-790-4730
Practice Address - Fax:818-790-2816
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG39563207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG39563AMedicare PIN
CAC46541Medicare UPIN
CAW10572Medicare PIN