Individual
DR. RICHARD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-4515
(310) 763-8909
Mailing address
400 S CITRUS AVE, LOS ANGELES, CA 90036-3537
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G69719
CA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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