Kilhyo Baek, FNP-C
Nurse Practitioner, Family in Vista, CA. Individual provider (NPI-1).
NPI number1053776914
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1053776914
- Entity type
- Individual (NPI-1)
- Name
- Kilhyo Baek
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2015
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95003571 | CA | Yes |
Practice location
1000 Vale Terrace DrVista, CA 92084-5218
Phone 760-631-5000
Mailing address
1000 Vale Terrace DrVista, CA 92084-5218
Phone 760-631-5000
Other practice locations
3600 S 700 W
South Salt Lake, UT 84119-4122
South Salt Lake, UT 84119-4122
Phone 801-262-5626
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