Healthcare Provider Details

I. General information

NPI: 1649581349
Provider Name (Legal Business Name): STEVEN ANTHONY BAIMA M.A., MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 11/11/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 N EUCLID ST # 500
ANAHEIM CA
92801-1900
US

IV. Provider business mailing address

8151 CRAGER LN
ANAHEIM CA
92804-6719
US

V. Phone/Fax

Practice location:
  • Phone: 714-644-6480
  • Fax:
Mailing address:
  • Phone: 562-676-6787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC48460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: