Provider Demographics
NPI:1700928777
Name:HAYDEN, BARBARA BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:BETH
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 20TH ST STE 530
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2088
Mailing Address - Country:US
Mailing Address - Phone:310-315-0215
Mailing Address - Fax:310-819-0371
Practice Address - Street 1:1301 20TH ST STE 530
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2088
Practice Address - Country:US
Practice Address - Phone:310-315-0215
Practice Address - Fax:310-819-0371
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG49423174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist