Individual
DR. KELLY J BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11818 WILSHIRE BLVD, SUITE 300, LOS ANGELES, CA 90025-6646
(310) 828-4008
(310) 828-3310
Mailing address
11818 WILSHIRE BLVD, SUITE 300, LOS ANGELES, CA 90025-6646
(310) 828-4008
(310) 828-3310
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
25MA08120900
NJ
207VE0102X
Reproductive Endocrinology Physician
C53761
CA
Other
Enumeration date
12/27/2006
Last updated
01/08/2014
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