Provider Demographics
NPI:1568634871
Name:GERMAN E. BALDEON MD
Entity Type:Organization
Organization Name:GERMAN E. BALDEON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BALDEON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-771-5500
Mailing Address - Street 1:680 E ROMIE LN
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4206
Mailing Address - Country:US
Mailing Address - Phone:831-771-5500
Mailing Address - Fax:731-771-5460
Practice Address - Street 1:680 E ROMIE LN
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4206
Practice Address - Country:US
Practice Address - Phone:831-771-5500
Practice Address - Fax:831-771-5460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40518174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A405180Medicare PIN
CAA29139Medicare UPIN