Individual
LOREN D. BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
2100 POWELL ST STE 920, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA13310
—
CA
Enumeration date
08/25/2006
Last updated
03/21/2011
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