Organization
JUNG M. BAE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG M BAE M.D. (PRESIDENT)
(213) 389-3200
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD STE 785, LOS ANGELES, CA 90017-4881
(213) 389-3200
(213) 572-0515
Mailing address
1245 WILSHIRE BLVD STE 785, LOS ANGELES, CA 90017-4881
(213) 389-3200
(213) 572-0515
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A45650
CA
Other
Enumeration date
07/01/2010
Last updated
04/11/2018
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