Healthcare Provider Details

I. General information

NPI: 1265546394
Provider Name (Legal Business Name): KATHRYN HELENE BALDWIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN BALDWIN SEARS MD

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 GENESEE AVE STE 380
LA JOLLA CA
92037-1212
US

IV. Provider business mailing address

4760 OREGON ST
SAN DIEGO CA
92116-1338
US

V. Phone/Fax

Practice location:
  • Phone: 760-941-2000
  • Fax: 760-941-4900
Mailing address:
  • Phone: 858-793-2449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA046530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: