Baum, Bradley Lloyd

Baum, Bradley Lloyd is an individual health care provider with primary practice located at 341 Magnolia Ave Ste 101, Corona CA 92879-3331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Baum, Bradley Lloyd can be contacted via phone (951) 735-6060.

Contact Information

Primary practice address
341 Magnolia Ave Ste 101 Corona CA 92879-3331
Phone: (951) 735-6060
Fax: (951) 735-4510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G51197 California

Profile Details

NPI number 1205847654
LBN Legal business name Baum, Bradley Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 15th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205847654 NPPES
California Other 00G511970 BLUE SHIELD
California MEDICAID 00G511970 BLUE SHIELD
California Other 200034607 BLUE SHIELD
California Other 00G511970 BLUE SHIELD

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