Most Relevant Information
Provider Data
| NPI Number: | 1003180191 |
| Provider Name: | MANIVANH M BAUM PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA22125 |
Most Important Dates
| Enumeration Date: | 03/07/2012 |
| Last Updated: | 08/13/2013 |
Provider Practice Location
400 EAST OAK STREET
VISALIA
CA
932915034
Practice Location Phone/Fax
| Phone: | 5597414500 |
| Fax: | 5597414502 |
Provider Mailing Location
305 EAST CENTER AVE.
VISALIA
CA
932916331
Provider Mailing Phone/Fax
| Phone: | 5597374700 |
| Fax: | 5597374782 |