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NPI Code Detail

MEDICARE: MR. CARLOS ALBERTO BAEZ MD

MEDICARE: MR. CARLOS ALBERTO BAEZ 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
1207Q00000XFamily Medicine PhysicianA85745CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225038961
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARLOS ALBERTO BAEZ MD
Provider Business Mailing Address
First Line : 2140 GRAND AVE STE 125
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-6802
Country : US
Telephone Number : 909-630-7875
Fax Number : 909-469-2107
Provider Business Practice Location Address
First Line : 2140 GRAND AVE STE 125
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-6802
Country : US
Telephone Number : 909-630-7875
Fax Number : 909-469-2107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 02/25/2026

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