Provider Demographics
NPI:1992073977
Name:STEVEN H BARON MD PHD A PROF CORP
Entity type:Organization
Organization Name:STEVEN H BARON MD PHD A PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:BARON
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:661-254-2220
Mailing Address - Street 1:23928 LYONS AVE
Mailing Address - Street 2:SUITE 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:SUITE 107
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2408
Practice Address - Country:US
Practice Address - Phone:661-254-2220
Practice Address - Fax:661-254-3792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG36288207R00000X, 208100000X
207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG36288Medicare UPIN