Individual provider · Type 1 NPI

Timothy Baum

Student in an Organized Health Care Education/Training Program · Victorville, CA

NPI number 1487472346 Active

Practice location

15490 Civic Dr Ste 103
Victorville, CA 92392-2382

Call (442) 327-9172 Map

Mailing address

13740 Hidden Valley Rd, Svl 7525
Victorville, CA 92395

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487472346

Timothy Baum's National Provider Identifier is 1487472346, issued on Sep 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Victorville, CA. The record was last updated on Jun 1, 2026.