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Individual

DR. PATRICK JAMES BAGGOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3020 WILSHIRE BLVD, SUITE 219, LOS ANGELES, CA 90010-1120
(213) 386-2606
(213) 386-2603
Mailing address
3020 WILSHIRE BLVD, SUITE 219, LOS ANGELES, CA 90010-1120
(213) 386-2606
(213) 386-2603

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
G84916
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G84916
CA
207VM0101X
Maternal & Fetal Medicine Physician
G84916
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G849160
CA
01
WG84916B
MEDICARE
CA
Enumeration date
10/12/2006
Last updated
10/29/2015
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