Provider Demographics
NPI:1750479762
Name:BARON, PAUL JASON (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:JASON
Last Name:BARON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6927 KATELLA AVE
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5109
Mailing Address - Country:US
Mailing Address - Phone:714-761-0222
Mailing Address - Fax:714-761-0223
Practice Address - Street 1:6927 KATELLA AVE
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5109
Practice Address - Country:US
Practice Address - Phone:714-761-0222
Practice Address - Fax:714-761-0223
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor