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Individual

DR. ETHAN BAUGHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D. PH.D.

Contact information

Practice address
32144 AGOURA RD STE 220, WESTLAKE VILLAGE, CA 91361-4057
(805) 409-7537
(310) 363-7610
Mailing address
32144 AGOURA RD STE 220, WESTLAKE VILLAGE, CA 91361-4057
(805) 409-7537
(310) 363-7610

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2013020089
MO
208200000X
Plastic Surgery Physician
Primary
A158793
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200062362
MO
Enumeration date
06/21/2013
Last updated
11/17/2025
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