Individual
MR. EUNG KOO BAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12017 EAST ROSECRANS AVE, NORWALK, CA 90650
(562) 868-2027
(562) 868-0033
Mailing address
1482 ATHERTON CIRCLE, FULLERTON, CA 92833
(714) 738-1811
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C41124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C411240
—
CA
Enumeration date
08/08/2006
Last updated
06/11/2019
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