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
1	2084P0800X	Psychiatry Physician	BB3176939	PA
2	2084P0800X	Psychiatry Physician	20A4397	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20A4397	OTHER	CA	MEDICAL 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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