| NPI | 1801064647 |
|---|---|
| Other Name | ALFONSO M. BAEZ, M.D. |
| Entity Type | Organization |
| Authorized Contact | ALFONSO M. BAEZ Medical Doctor 310-532-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA A35887) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2023-09-06 |