Individual
ALAN BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2449 SUMMERFIELD RD, SANTA ROSA, CA 95405-7815
(707) 523-7222
(707) 578-6840
Mailing address
3116 W MARCH LN, STE 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6543
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G19081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G190810
MEDI-CAL #
CA
01
—
G19081
MD LICENSE
CA
Enumeration date
01/19/2007
Last updated
07/09/2007
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