Baum, Melanie
Baum, Melanie is an sole proprietor health care provider with primary practice located at 1197 E Los Angeles Ave , Simi Valley CA 93065-2868. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Baum, Melanie can be contacted via phone (310) 600-2153.Contact Information
Primary practice address
1197 E Los Angeles Ave
Simi Valley CA 93065-2868
Phone: (310) 600-2153
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 056068 | New York |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 62146 | California |
Profile Details
| NPI number | 1396035242 |
|---|---|
| LBN Legal business name | Baum, Melanie |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2011 |
| Last updated | Jun 5th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396035242 | NPPES |
| New York | MEDICAID | 03474417 |
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