Provider Demographics
NPI:1194886119
Name:BARON, STEVEN HARVEY (MD PHD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:HARVEY
Last Name:BARON
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:23928 LYONS AVENUE
Mailing Address - Street 2:#107
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2408
Mailing Address - Country:US
Mailing Address - Phone:661-254-2220
Mailing Address - Fax:661-254-3792
Practice Address - Street 1:23928 LYONS AVE
Practice Address - Street 2:#107
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2409
Practice Address - Country:US
Practice Address - Phone:661-254-2220
Practice Address - Fax:661-254-3792
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2012-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG36288207R00000X, 207RE0101X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
A91765Medicare UPIN