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1427290030 NPI number — GERALD M BALTZ DNP

NPI Number: 1427290030
Health Care Provider/Practitioner: GERALD M BALTZ DNP

Information about “1427290030” NPI (GERALD M BALTZ DNP) exists in 1427290030 in HTML format HTML  |  1427290030 in plain Text format TXT  |  1427290030 in PDF (Portable Document Format) PDF  |  1427290030 in an XML format XML  formats.

NPI Number : 1427290030 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427290030",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BALTZ",
    "FirstName": "GERALD",
    "MiddleName": "M",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1412 3/4 N HAYWORTH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST HOLLYWOOD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90046-3809",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-391-4830",
    "MailingAddressFaxNumber": "323-978-2546",
    "FirstLinePracticeLocationAddress": "8060 MELROSE AVE STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90046-7037",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-391-4830",
    "PracticeLocationAddressFaxNumber": "323-978-2546",
    "EnumerationDate": "03/27/2009",
    "LastUpdateDate": "06/01/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "19710",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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