Individual
MICHAEL BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 321-6475
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 321-6475
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20A12528
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/18/2011
Last updated
02/10/2023
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