Individual
DR. YICHENG BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(501) 349-7721
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 865-6932
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A196015
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2021
Last updated
05/29/2025
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