Baum Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Los Angeles, CA. Organization (NPI-2).
NPI number1407360522
StatusActive
Last updated in NPPESNov 28, 2017
Details
- NPI
- 1407360522
- Entity type
- Organization (NPI-2)
- Legal business name
- Baum Orthodontics
- Organization subpart
- No
- Enumeration date
- Nov 28, 2017
- Last updated
- Nov 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 29557 | CA | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 44400 | CA | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 27953 | CA |
Practice location
8540 S Sepulveda Blvd Ste 1012Los Angeles, CA 90045-3819
Phone 310-670-1411
Mailing address
8540 S Sepulveda Blvd Ste 1012Los Angeles, CA 90045-3819
Authorized official
Susana Saravia-Nelson
Manager
3106701411
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