IndividualActive
Mickey Baum
NPI 1326877812 · Rehabilitation Registered Nurse · El Cajon, CA
Provider details
- NPI number
- 1326877812
- Entity type
- Individual
- Primary specialty
- Rehabilitation Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 95290204 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
460 N Magnolia Ave
El Cajon, CA 92020-3610
Phone: (619) 933-0192
Approximate (ZIP-level) locationGet directions
Mailing address
1238 Quincy Canyon Rd
Lakeside, CA 92040-1506
Registry dates
- Enumerated
- 2024-07-31
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.