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SEONG GON BAE MD INC NPI 1700215548


NPI Information

NPI: 1700215548
Provider Name: SEONG GON BAE MD INC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
15211 VANOWEN ST UNIT 200
VAN NUYS, CA
ZIP 91405
Phone: (818) 782-3255
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SEONG GON BAE MD INC is a surgery in Van Nuys, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SEONG GON BAE MD INC NPI is 1700215548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15211 VANOWEN ST UNIT 200
VAN NUYS, CA
ZIP 91405-606
Phone: (818) 782-3255
Fax: (818) 782-7026

The provider's authorized official is Seong Gon Bae .
The authorized official title is Ceo and has the following contact phone number (818) 782-3255.

The enumeration date for this NPI number is 11/2/2013 and was last updated on 2/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryA123341CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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