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NPI Code Detail

MEDICARE: BEATRICE ELENA BAEZ MD

MEDICARE: BEATRICE ELENA 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 PhysicianA74777CA

General Provider Information

NPI Number : 1245372507
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRICE ELENA BAEZ MD
Provider Business Mailing Address
First Line : 2743 HIGHLAND AVE
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7410
Country : US
Telephone Number : 619-474-2284
Fax Number :
Provider Business Practice Location Address
First Line : 2743 HIGHLAND AVE
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7410
Country : US
Telephone Number : 619-474-2284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 06/03/2015

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Directions to “ BEATRICE ELENA BAEZ MD” Practice Location

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