Individual
JACK BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9201 W SUNSET BLVD STE 202, LOS ANGELES, CA 90069-3703
(310) 550-1951
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(818) 550-0900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A40264
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A40264
CA
Other
Enumeration date
07/19/2006
Last updated
02/06/2020
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