Healthcare Provider Details

I. General information

NPI: 1942314083
Provider Name (Legal Business Name): BARON AND BARON MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 09/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 W. LEGION ROAD SUITE 300
BRAWLEY CA
92227-7755
US

IV. Provider business mailing address

PO BOX 7096
STOCKTON CA
95267-0096
US

V. Phone/Fax

Practice location:
  • Phone: 760-351-4848
  • Fax: 760-351-4849
Mailing address:
  • Phone: 209-956-7725
  • Fax: 209-956-7733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG26743
License Number StateCA

VIII. Authorized Official

Name: NORMAN E BARON
Title or Position: OWNER
Credential: MD
Phone: 760-351-4848