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NPI Code Detail

MEDICARE: RACHEL PAM BADEN M.D.

MEDICARE: RACHEL PAM BADEN 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
1207RI0200XInfectious Disease PhysicianC138444CA

General Provider Information

NPI Number : 1750329975
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL PAM BADEN M.D.
Provider Business Mailing Address
First Line : 2051 MARENGO ST, LACTUSC MEDICAL CENTER
Second Line : INPATIENT TOWER-ADMIN SUITE C2K100
City : LOS ANGELES
State : CA
Zip : 90033-1352
Country : US
Telephone Number : 323-409-7414
Fax Number : 617-632-7626
Provider Business Practice Location Address
First Line : 2051 MARENGO ST, LACTUSC MEDICAL CENTER
Second Line : INPATIENT TOWER-ADMIN SUITE C2K100
City : LOS ANGELES
State : CA
Zip : 90033-1352
Country : US
Telephone Number : 323-409-7414
Fax Number : 617-632-7626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 10/27/2021

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