MEDICARE: CHRISTOPHER BAKER M.D.

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	2085R0204X	Vascular & Interventional Radiology Physician	A94232	CA

General Provider Information

NPI Number	:	1013059872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER BAKER M.D.

Provider Business Mailing Address
First Line	:	4041 MACARTHUR BLVD STE 360
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2531
Country	:	US
Telephone Number	:	949-645-3534
Fax Number	:

Provider Business Practice Location Address
First Line	:	4041 MACARTHUR BLVD STE 360
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2531
Country	:	US
Telephone Number	:	949-645-3534
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	04/11/2019

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