Individual
JOEL BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 WEST ARBOR DRIVE, MAIL CODE: 8220, UC SAN DIEGO MEDICAL CENTER, SAN DIEGO, CA 92103-1911
(619) 543-6711
Mailing address
PO BOX 232410, SAN DIEGO, CA 92103-9000
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
A121105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A121105
LICENSE
CA
Enumeration date
01/26/2007
Last updated
08/09/2017
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