Basic Information
| Provider Information | |||||||||
| NPI: | 1265546394 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEARS | ||||||||
| FirstName: | KATHRYN | ||||||||
| MiddleName: | BALDWIN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BALDWIN | ||||||||
| OtherFirstName: | KATHRYN | ||||||||
| OtherMiddleName: | HELENE | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 5455 COACH LANE | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8587932449 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | USHW | ||||||||
| Address2: | 2023 WEST VISTA WAY SUITE C | ||||||||
| City: | VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92083 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7609412000 | ||||||||
| FaxNumber: | 7609414900 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2006 | ||||||||
| LastUpdateDate: | 07/13/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | A046530 | CA | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.