Dr WALLACE ANDREW BAKER is a male medical professional, specializing in Family Medicine. He graduated in 2004 from Temple University School Of Medicine.
COUNTY OF VENTURA
2189 EASTMAN AVE
VENTURA
CA
930035792
Tel: 8056392600
| Npi | 1790834638 |
| Pac Id | 6800070780 |
| Professional Enrollment Id | I20140715002293 |
| Last Name | BAKER |
| First Name | WALLACE |
| Middle Name | ANDREW |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | COUNTY OF VENTURA |
| Group Practice Pac Id | 7911810171 |
| Number Of Group Practice Members | 204 |
| Line 1 Street Address | 2189 EASTMAN AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VENTURA |
| State | CA |
| Zip Code | 930035792 |
| Phone Number | 8056392600 |
| Hospital Affiliation Ccn 1 | 050159 |
| Hospital Affiliation Lbn 1 | VENTURA COUNTY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 051330 |
| Hospital Affiliation Lbn 2 | MODOC MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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