Individual
DR. HO SEOB BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S VIRGIL AVE STE 202, LOS ANGELES, CA 90020-1425
(213) 368-0360
(213) 368-0976
Mailing address
520 S VIRGIL AVE STE 202, LOS ANGELES, CA 90020-1425
(213) 368-0360
(213) 368-0976
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G83132
CA
207RI0008X
Hepatology Physician
G83132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G831320
—
CA
01
—
352166127
TAX ID
—
Enumeration date
07/14/2006
Last updated
11/22/2022
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