MEDICARE: DR. PAUL MARK BAYLON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G48547	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G485470	OTHER	CA	MEDI CAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003824020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL MARK BAYLON MD

Provider Business Mailing Address
First Line	:	3118 E FLORENCE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5830
Country	:	US
Telephone Number	:	323-587-1616
Fax Number	:	323-587-1767

Provider Business Practice Location Address
First Line	:	3118 E FLORENCE AVE
Second Line	:	STE #2
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5830
Country	:	US
Telephone Number	:	323-587-1616
Fax Number	:	323-587-1767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	12/15/2010

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