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NPI Code Detail

MEDICARE: DAVID A BARON DO

MEDICARE:   DAVID A BARON  DO
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
12084P0800XPsychiatry PhysicianBB3176939PA
22084P0800XPsychiatry Physician20A4397CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120A4397OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1417945486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A BARON DO
Provider Business Mailing Address
First Line : PO BOX 31309
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-0309
Country : US
Telephone Number : 323-442-6000
Fax Number : 323-442-6001
Provider Business Practice Location Address
First Line : 1520 SAN PABLO ST
Second Line : SUITE 1652
City : LOS ANGELES
State : CA
Zip : 90033-5310
Country : US
Telephone Number : 323-442-6000
Fax Number : 323-442-6001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 04/04/2016

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Directions to “ DAVID A BARON DO” Practice Location

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