MEDICARE: PAUL M BAYLON MD INC

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	207Q00000X	Family Medicine Physician	G48547	CA

General Provider Information

NPI Number	:	1053789271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL M BAYLON MD INC

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	:

Provider Business Practice Location 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

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL BAYLON
Credential	:	MD
Telephone Number	:	323-587-1616

Provider Enumeration Date	:	09/03/2015
Last Update Date	:	09/03/2015

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