Individual
BIANCA BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1922 HILLHURST AVE FL 2, LOS ANGELES, CA 90027-2712
(310) 423-1224
Mailing address
PO BOX 31787, LOS ANGELES, CA 90031-0649
(310) 894-1015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
02/24/2020
Last updated
08/24/2023
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