Healthcare Provider Details

I. General information

NPI: 1992073977
Provider Name (Legal Business Name): STEVEN H BARON MD PHD A PROF CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2011
Last Update Date: 03/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23928 LYONS AVE SUITE 107
NEWHALL CA
91321-2408
US

IV. Provider business mailing address

23928 LYONS AVE SUITE 107
NEWHALL CA
91321-2408
US

V. Phone/Fax

Practice location:
  • Phone: 661-254-2220
  • Fax: 661-254-3792
Mailing address:
  • Phone: 661-254-2220
  • Fax: 661-254-3792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG36288
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberG36288
License Number StateCA

VIII. Authorized Official

Name: DR. STEVEN HARVEY BARON
Title or Position: OWNER
Credential: M.D., PHD.
Phone: 661-254-2220