Individual
GARY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5750 DOWNEY AVE, #306, LAKEWOOD, CA 90712-1405
(562) 408-4636
(714) 505-5781
Mailing address
5750 DOWNEY AVE, #306, LAKEWOOD, CA 90712-1405
(562) 408-4636
(562) 408-4636
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
G078404
CA
208VP0000X
Pain Medicine Physician
G078404
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G078404
CA
Other
Enumeration date
08/03/2006
Last updated
10/29/2007
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