Individual
DR. FRED BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
469 C AVENUE, CORONADO, CA 92118-1822
(619) 437-1430
Mailing address
469 C AVENUE, CORONADO, CA 92118-1822
(619) 437-1430
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G86704
CA
Other
Enumeration date
11/30/2006
Last updated
01/28/2008
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