Individual
DR. ANDREW SUNGKUN BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4647 ZION AVE, DEPARTMENT OF ANESTHESIOLOGY, SAN DIEGO, CA 92120-2507
(310) 780-9614
Mailing address
4647 ZION AVE, DEPARTMENT OF ANESTHESIOLOGY, SAN DIEGO, CA 92120-2507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A98466
CA
207L00000X
Anesthesiology Physician
MD151167
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427290717
—
WA
05
—
500623180
—
OR
Enumeration date
04/01/2009
Last updated
02/04/2022
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