Individual
DR. DONNY BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-4721
Mailing address
5767 W. CENTURY BLVD, #400, LOS ANGELES, CA 90045-5655
(310) 889-7652
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A86630
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A86630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A866300
—
CA
Enumeration date
03/01/2007
Last updated
01/20/2009
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