DR. BARRY JULIAN BROOMBERG M.D. NPI 1881874824

NPI Information

NPI: 1881874824
Provider Name: DR. BARRY JULIAN BROOMBERG M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6515 LA JOLLA BLVD
LA JOLLA, CA
ZIP 92037
Phone: (858) 454-7157
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DR. BARRY JULIAN BROOMBERG M.D. is a family medicine in La Jolla, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. BARRY JULIAN BROOMBERG M.D. NPI is 1881874824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6515 LA JOLLA BLVD
LA JOLLA, CA
ZIP 92037-066
Phone: (858) 454-7157
Fax: (858) 454-6460

The provider's authorized official is Barry Julian Broomberg .
The authorized official title is President and has the following contact phone number (858) 454-7157.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 12/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		C41796	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W18195	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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