Provider Demographics
NPI:1538154836
Name:BAKER, KATRINA DIONNE (MD)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:DIONNE
Last Name:BAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:44241 15TH ST W
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-5502
Mailing Address - Country:US
Mailing Address - Phone:661-948-4691
Mailing Address - Fax:661-949-5831
Practice Address - Street 1:44241 15TH ST W
Practice Address - Street 2:SUITE 303
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4037
Practice Address - Country:US
Practice Address - Phone:661-948-4691
Practice Address - Fax:661-949-5831
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA86765207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology