NPI Code Detail JSON Logo

1104086891 NPI number — LYNN SANDRA BAKER M.D.

NPI Number: 1104086891
Health Care Provider/Practitioner: LYNN SANDRA BAKER M.D.

Information about “1104086891” NPI (LYNN SANDRA BAKER M.D.) exists in 1104086891 in HTML format HTML  |  1104086891 in plain Text format TXT  |  1104086891 in PDF (Portable Document Format) PDF  |  1104086891 in an XML format XML  formats.

NPI Number : 1104086891 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104086891",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAKER",
    "FirstName": "LYNN",
    "MiddleName": "SANDRA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PITOUN",
    "OtherFirstName": "LYNN",
    "OtherMiddleName": "BAKER",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2237 STANLEY HILLS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90046-1531",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-650-6540",
    "MailingAddressFaxNumber": "323-822-2863",
    "FirstLinePracticeLocationAddress": "7755 CENTER AVE",
    "SecondLinePracticeLocationAddress": "SUITE 700",
    "PracticeLocationAddressCityName": "HUNTINGTON BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92647-3007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-650-6540",
    "PracticeLocationAddressFaxNumber": "323-822-2863",
    "EnumerationDate": "06/16/2008",
    "LastUpdateDate": "06/16/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "G37114",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.