Individual
LINDA BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10833 LE CONTE AVE, B-186CHS, LOS ANGELES, CA 90095-3075
(310) 319-4262
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5631
(310) 319-4262
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
G61523
CA
207ZP0101X
Anatomic Pathology Physician
Primary
G61523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G615230
—
CA
Enumeration date
10/27/2006
Last updated
06/18/2012
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