Individual
JOAN BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
520 S LAFAYETTE PARK PLACE 3RD FLOOR, LOS ANGELES, CA 90057
(213) 252-2100
Mailing address
520 S LAFAYETTE PARK PLACE 3RD FLOOR, LOS ANGELES, CA 90057-5400
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
212771
CA
Other
Enumeration date
10/05/2017
Last updated
07/08/2021
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