Individual
CHRISTOPHER J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
79430 HIGHWAY 111 STE 101, LA QUINTA, CA 92253-4549
(760) 564-3533
(760) 564-3360
Mailing address
79430 HIGHWAY 111 STE 101, LA QUINTA, CA 92253-4549
(760) 564-3533
(760) 564-3360
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA15618
STATE LICENSE
CA
Enumeration date
11/27/2006
Last updated
10/06/2015
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