Individual
RACHEL DEENA BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 S BUENA VISTA ST, STE. 420, BURBANK, CA 91505-4571
(818) 238-2350
(818) 238-2351
Mailing address
201 S BUENA VISTA ST, STE. 420, BURBANK, CA 91505-4571
(818) 238-2350
(818) 238-2351
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A108217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A108217
MEDICAL BOARD LICENSE
CA
Enumeration date
12/10/2008
Last updated
05/01/2013
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