Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | G68306 | CA |
N | 207VX0000X | Obstetrician | G68306 | CA |
NPI | 1235293127 |
---|---|
Provider Name | Dr. Jesus Pulido Baldonado |
First Address | Delano, CA 93215-2203 |
Second Address | Delano, CA 93215-2203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G683060 | (05) | CA |
F47026 | (02) |