Provider Demographics
NPI:1023560935
Name:BAYTOS, BARRENCE (CNMT)
Entity Type:Individual
Prefix:
First Name:BARRENCE
Middle Name:
Last Name:BAYTOS
Suffix:
Gender:M
Credentials:CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 S. BEVERLY DRIVE
Mailing Address - Street 2:SUITE # 210
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:310-748-7685
Mailing Address - Fax:
Practice Address - Street 1:260 S. BEVERLY DRIVE
Practice Address - Street 2:SUITE # 210
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212
Practice Address - Country:US
Practice Address - Phone:310-748-7685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist