Elizabeth Dierdre Barnett

Individual provider Active NPI Contractor · Van Nuys, CA

NPI 1356599559 · NPPES record last updated Sep 3, 2008

Key facts

NPI
1356599559
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
14600 Sherman Way
Suite 300
Van Nuys, CA 91405-2283
Phone
(818) 489-6585
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

14600 Sherman Way
Suite 300
Van Nuys, CA 91405-2283

Mailing address

7315 Jumilla Ave
Winnetka, CA 91306-3018
Phone (818) 341-5485

Other names

  • Elizabeth Dierdre Kiely Other name

Other providers in Van Nuys, CA

All providers in Van Nuys, CA · Contractor in California

Sources for this page

Verify at the official NPI Registry.