# BAUM 5 STAR HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baum 5 Star Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083277206
- **Authorized official:** MANIVANH BAUM P.A. (PROVIDER)
- **Authorized official phone:** (559) 408-5533

## Contact information

- **Practice address:** 560 W GRANGEVILLE BLVD STE A, HANFORD, CA 93230-2858
- **Practice address phone:** (559) 408-5533
- **Practice address fax:** (800) 827-1977
- **Mailing address:** 560 W GRANGEVILLE BLVD STE A, HANFORD, CA 93230-2858
- **Mailing address phone:** (559) 408-5533
- **Mailing address fax:** (800) 827-1977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2019
- **Last updated:** 04/15/2019