Basic Information
Provider Information
NPI: 1598020968
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARGER
FirstName: MELISSA
MiddleName: LEE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5767 W CENTURY BLVD SUITE 400
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900955631
CountryCode: US
TelephoneNumber: 3103018707
FaxNumber: 3103018751
Practice Location
Address1: 1187 COAST VILLAGE RD STE 10B
Address2:  
City: MONTECITO
State: CA
PostalCode: 931082764
CountryCode: US
TelephoneNumber: 8055650020
FaxNumber: 8055650023
Other Information
ProviderEnumerationDate: 07/11/2012
LastUpdateDate: 07/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XA131643CAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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