Healthcare Provider Details

I. General information

NPI: 1346191228
Provider Name (Legal Business Name): ROBERT L BAKER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W BADILLO ST
COVINA CA
91723-1906
US

IV. Provider business mailing address

250 W BADILLO ST
COVINA CA
91723-1906
US

V. Phone/Fax

Practice location:
  • Phone: 626-967-6225
  • Fax: 626-331-7925
Mailing address:
  • Phone: 626-967-6225
  • Fax: 626-331-7925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT L BAKER
Title or Position: OWNER
Credential: MD
Phone: 626-966-2373