Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A120237 | CA |
Y | 208600000X | Surgeon | A120237 | CA |
N | 2086X0206X | Surgical Oncologist | A120237 | CA |
NPI | 1447504121 |
---|---|
Provider Name | Dr. Jennifer Lynn Baker |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-9000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2012 |
Last Update Date | 23/12/2019 |