Individual
MR. ROBERT WAYNE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1711 W TEMPLE ST STE 1082, LOS ANGELES, CA 90026-7329
(818) 395-3060
Mailing address
1711 W TEMPLE ST STE 1082, LOS ANGELES, CA 90026-7329
(818) 395-3060
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012875
CA
363LP2300X
Primary Care Nurse Practitioner
95012875
CA
Other
Enumeration date
09/23/2019
Last updated
11/06/2023
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