Provider Demographics
NPI:1265546394
Name:SEARS, KATHRYN BALDWIN (MD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:BALDWIN
Last Name:SEARS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:HELENE
Other - Last Name:BALDWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5455 COACH LANE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130
Mailing Address - Country:US
Mailing Address - Phone:858-793-2449
Mailing Address - Fax:
Practice Address - Street 1:USHW
Practice Address - Street 2:2023 WEST VISTA WAY SUITE C
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083
Practice Address - Country:US
Practice Address - Phone:760-941-2000
Practice Address - Fax:760-941-4900
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA046530208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice