MEDICARE: DR. DAVID LEONARD BARON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	G34381	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720043458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID LEONARD BARON M.D.

Provider Business Mailing Address
First Line	:	12766 MONTEREY CYPRESS WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-2425
Country	:	US
Telephone Number	:	858-259-3787
Fax Number	:

Provider Business Practice Location Address
First Line	:	8881 FLETCHER PKWY STE 100
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91942-3128
Country	:	US
Telephone Number	:	619-698-0930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	12/01/2011

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