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General NPI Number Information
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NPI Number | 1376422303
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Entity Type | Organization
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Legal Business Name | BAIOU MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1945 E. 17H ST #107
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City | SANTA ANA
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State | CA
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Zip | 92705-6862
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Country | US
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Telephone | 714-500-7714
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Fax | 714-500-7713
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Provider Business Mailing Address
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Address Line | PO BOX 1012
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City | SPRING VALLEY
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State | CA
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Zip | 91979-1012
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR / PRESIDENT
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Name | MOHAMED BAIOU
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Credential | MD
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Telephone | 267-070-4577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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