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Ji Seon Bae
Family Nurse Practitioner in Carson, California
NPI 1619390630

Ji Seon Bae is a Family Nurse Practitioner based in Lakewood, CA and is specialized in Family. Ji Seon Bae practices in Carson, CA. The NPI Number for Ji Seon Bae is 1619390630 and holds a License No. 23263 (California).

The current practice location address for Ji Seon Bae is 23517 Main St Ste 103, Carson, CA and can be reached out via phone at 562-889-8787.

Location: 23517 Main St Ste 103, Carson, CA, 90712-1120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619390630
Provider Name
Ji Seon Bae
Credential
Provider Entity Type
Individual
Gender
Female
Address
23517 Main St Ste 103, Carson, CA, 90712-1120
Phone Number
562-889-8787
Fax Number
Provider Enumeration Date
01/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23517 Main St Ste 103
City
Carson
State
California
Zip
90745-5234
Phone Number
562-889-8787
Fax Number
person
Provider Business Mailing Address Details
Address
23517 Main St Ste 103
City
Carson
State
California
Zip
90745-5234
Phone Number
562-889-8787
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
23263 (California)
Definition
Definition to come...
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