Individual
SANDRA YONGSEON BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
26107 OAK ST UNIT B, LOMITA, CA 90717-3180
(310) 977-9495
Mailing address
26107 OAK ST UNIT B, LOMITA, CA 90717-3180
(310) 977-9495
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
CA725216
CA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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