Individual
THOMAS BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15343 PARTHENIA ST, NORTH HILLS, CA 91343-5105
(818) 514-8181
(818) 514-8180
Mailing address
3117 LA CASA CT, THOUSAND OAKS, CA 91362-4912
(818) 514-8181
(818) 514-8180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 15823
CA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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