Individual
BARON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 260-5781
Mailing address
8255 VINEYARD AVE, APT 1000C, RANCHO CUCAMONGA, CA 91730-3375
(971) 533-5684
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
T9355
TX
Other
Enumeration date
12/29/2014
Last updated
11/15/2022
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