Katherine Jean Baggs, MD

Individual provider Active NPI Surgery Physician · Baldwin Park, CA

NPI 1245388115 · NPPES record last updated Sep 23, 2008

Key facts

NPI
1245388115
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
A25099 (CA)
Practice address
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone
(626) 851-1011
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A25099 CA Yes

Addresses

Primary practice location

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Mailing address

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone (626) 851-1011

Other providers in Baldwin Park, CA

All providers in Baldwin Park, CA · Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.