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MANIVANH M BAUM — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, CA)

MANIVANH M BAUM — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: MANIVANH M BAUM; Type: Individual; NPI: 1003180191.

NameMANIVANH M BAUM
TypeIndividual
NPI1003180191
Provider typePRACTITIONER - PHYSICIAN ASSISTANT
StateCA
Enrollment IDI20120517000279
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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