Individual provider · NPI-1

Won Bae, M.D.

Radiology, Diagnostic Radiology · Loma Linda, CA

NPI number1790706380
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1790706380
Entity type
Individual (NPI-1)
Name
Won Bae
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyA33439CAYes

Practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-8311

Mailing address

Po Box 30959
Los Angeles, CA 90030-0959

Phone 909-558-3014

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Radiology, Diagnostic Radiology providers in Loma Linda, CA