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Individual
DR. JOHN T BAKOS
Active
Individual
DR. JOHN T BAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A67792
CA
208000000X
Pediatrics Physician
A67792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005230257
AETNA PIN
CA
01
—
00A677920
BLUE SHIELD
CA
05
—
00A6779200
—
CA
01
—
110208821
RAILROAD MEDICARE
CA
01
—
1447658
UNITED HEALTHCARE
CA
01
—
9331367
CIGNA
CA
Enumeration date
07/07/2006
Last updated
08/21/2014
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