Provider Demographics
NPI:1235372905
Name:BARIL, SAVANNAH EDEN GREYROSE (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:SAVANNAH
Middle Name:EDEN GREYROSE
Last Name:BARIL
Suffix:
Gender:
Credentials:MD, MSC
Other - Prefix:DR
Other - First Name:SAVANNAH
Other - Middle Name:EDEN
Other - Last Name:GREYROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MSC
Mailing Address - Street 1:PO BOX 103010
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91189-3002
Mailing Address - Country:US
Mailing Address - Phone:805-322-1510
Mailing Address - Fax:
Practice Address - Street 1:771 E DAILY DR STE 245
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-0786
Practice Address - Country:US
Practice Address - Phone:805-322-1510
Practice Address - Fax:805-482-4615
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2025-03-04
Deactivation Date:2025-01-21
Deactivation Code:
Reactivation Date:2025-01-30
Provider Licenses
StateLicense IDTaxonomies
CAA138413207W00000X
MAMT195272207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology