Provider Demographics
NPI:1477116200
Name:BARR, JESSICA CHRISTINE (DO)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:CHRISTINE
Last Name:BARR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:CHRISTINE
Other - Last Name:LEEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1310 W STEWART DR STE 307
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3838
Mailing Address - Country:US
Mailing Address - Phone:714-584-9823
Mailing Address - Fax:714-966-1269
Practice Address - Street 1:1310 W STEWART DR STE 307
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3838
Practice Address - Country:US
Practice Address - Phone:714-584-9823
Practice Address - Fax:714-966-1269
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A20692207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology