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GARY BAKER MD
Pain Medicine >> Pain Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1437167863
Individual Registrant: GARY BAKER MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
5750 DOWNEY AVE #306 LAKEWOOD, CA 90712-1405 US
Tel: 562-408-4636 Fax: 714-505-5781
Tel: 562-408-4636 Fax: 714-505-5781
Contact information for business:
5750 DOWNEY AVE #306 LAKEWOOD, CA 90712-1405 US
Tel: 562-408-4636 Fax: 562-408-4636
Tel: 562-408-4636 Fax: 562-408-4636
Registration Information:
NPI: 1437167863
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 208VP0000X | Allopathic & Osteopathic Physicians Pain Medicine Pain Medicine | CA | G078404 |
| Y | 208VP0014X | Allopathic & Osteopathic Physicians Pain Medicine | CA | G078404 |
| N | 207LP2900X | Allopathic & Osteopathic Physicians Anesthesiology | CA | G078404 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
