Organization
GARY L BAKER MD A PROFESSIONAL CORPORATION
Active
Other names
Advanced Pain Specialists of Southern California
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LAMONT BAKER M.D. (DIRECTOR/OWNER)
(562) 408-4636
Entity
Organization
Contact information
Practice address
5750 DOWNEY AVE, SUITE 306, LAKEWOOD, CA 90712-1405
(562) 408-4636
(562) 408-2684
Mailing address
5750 DOWNEY AVE, SUITE 306, LAKEWOOD, CA 90712-1480
(562) 408-4636
(562) 408-2684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO480A
OTHER MEDICARE GROUP NUMBER
CA
01
—
W19147
MEDICARE GROUP NUMBER
CA
Enumeration date
08/10/2007
Last updated
08/13/2013
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