MEDICARE: TITUS LUKE BAKER IDC

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	1710I1002X	Independent Duty Corpsman	098639276	TN

General Provider Information

NPI Number	:	1386179810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TITUS LUKE BAKER IDC

Provider Business Mailing Address
First Line	:	2695 SHOUP DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4268
Country	:	US
Telephone Number	:	931-335-9190
Fax Number	:

Provider Business Practice Location Address
First Line	:	2695 SHOUP DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4268
Country	:	US
Telephone Number	:	931-335-9190
Fax Number	:

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

Provider Enumeration Date	:	04/21/2017
Last Update Date	:	04/21/2017

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1750567509 — MRS. BETTINA PANGILINAN YALUNG
Practice Location Address:

2664 SHOUP DR
SAN DIEGO, CA
92110-4268

Practice Phone: 619-222-0216
Practice Fax:

1912342536 — LON PHILLIP CHANEY IDC
Practice Location Address:

2626 SHOUP DR
SAN DIEGO, CA
92110-4268

Practice Phone: 757-641-3994
Practice Fax:

1528194065 — EUCLID PHARMACY
Practice Location Address:

4268 EUCLID AVE
SAN DIEGO, CA
92115-4977

Practice Phone: 619-280-9203
Practice Fax: 619-280-9202

1962846261 — JULIA BAUM
Practice Location Address:

4268 ADAMS AVE
SAN DIEGO, CA
92116-2518

Practice Phone: 347-651-0541
Practice Fax:

1922535772 — ROLA ABUSHABAN L.AC
Practice Location Address:

14384 WHISPERING RIDGE RD
SAN DIEGO, CA
92131-4268

Practice Phone: 858-449-9186
Practice Fax:

Directions to “ TITUS LUKE BAKER IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.