| NPI | 1083277206 |
|---|---|
| Doing Business As | BAUM 5 STAR HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | MANIVANH BAUM Provider 559-408-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |