Provider Demographics
NPI:1861154379
Name:BARRIENTOS, JOSE ANGEL (ND)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:ANGEL
Last Name:BARRIENTOS
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 DEL MAR HEIGHTS RD SUITE A
Mailing Address - Street 2:# 155
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2199
Mailing Address - Country:US
Mailing Address - Phone:858-255-0557
Mailing Address - Fax:
Practice Address - Street 1:16236 SAN DIEGUITO RD STE 4-15
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92091-9802
Practice Address - Country:US
Practice Address - Phone:858-914-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1285175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath