Provider Demographics
NPI:1104086891
Name:BAKER, LYNN SANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:SANDRA
Last Name:BAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:LYNN
Other - Middle Name:BAKER
Other - Last Name:PITOUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2237 STANLEY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-1531
Mailing Address - Country:US
Mailing Address - Phone:323-650-6540
Mailing Address - Fax:323-822-2863
Practice Address - Street 1:7755 CENTER AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3007
Practice Address - Country:US
Practice Address - Phone:323-650-6540
Practice Address - Fax:323-822-2863
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG371142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry