Individual
GRACE EUNGI BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(909) 816-5811
Mailing address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-7249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95031029
CA
Other
Enumeration date
08/11/2025
Last updated
10/15/2025
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