MEDICARE: PATRICIA BAINTER 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
1	207WX0120X	Cornea and External Diseases Specialist Physician	G86883	CA
2	207W00000X	Ophthalmology Physician	G86883	CA

General Provider Information

NPI Number	:	1487737847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA BAINTER MD

Provider Business Mailing Address
First Line	:	8950 VILLA LA JOLLA DR STE C130
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92037-1707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 VILLA LA JOLLA DR STE C130
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92037-1707
Country	:	US
Telephone Number	:	858-788-2820
Fax Number	:	858-788-2822

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

Provider Enumeration Date	:	10/21/2006
Last Update Date	:	07/26/2022

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Directions to “ PATRICIA BAINTER MD” Practice Location

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