Healthcare Provider Details

I. General information

NPI: 1720043458
Provider Name (Legal Business Name): DAVID LEONARD BARON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8881 FLETCHER PKWY STE 100
LA MESA CA
91942-3128
US

IV. Provider business mailing address

12766 MONTEREY CYPRESS WAY
SAN DIEGO CA
92130-2425
US

V. Phone/Fax

Practice location:
  • Phone: 619-698-0930
  • Fax:
Mailing address:
  • Phone: 858-259-3787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG34381
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: