Individual
ALICE T BALDWIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1737
(562) 933-2000
(818) 587-2493
Mailing address
PO BOX 1490, LONG BEACH, CA 90801-1490
(888) 237-1803
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA12326
—
CA
Enumeration date
05/24/2006
Last updated
07/08/2007
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