Individual
JI SUN BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-2011
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
147376
CA
Other
Enumeration date
03/28/2015
Last updated
01/30/2023
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