Individual
JOHN DEAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 N TUSTIN AVE STE 706, SANTA ANA, CA 92705-3611
(714) 568-6600
(714) 245-0260
Mailing address
PO BOX 51626, IRVINE, CA 92619-1626
(714) 568-6600
(714) 245-0260
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G65259
CA
207RI0011X
Interventional Cardiology Physician
Primary
G65259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0095890
—
CA
Enumeration date
06/10/2005
Last updated
02/26/2020
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