Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G48547 | CA |
NPI | 1003824020 |
---|---|
Provider Name | Dr. Paul Mark Baylon |
First Address | Huntington Park, CA 90255-5830 |
Second Address | Huntington Park, CA 90255-5830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 15/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G485470 | MEDI CAL (01) | CA |
00G485471 | (05) | CA |
E95301 | (02) |