Bae, Jae Gon

Bae, Jae Gon is an individual health care provider with primary practice located at 4440 Twain Ave Apt 277 , San Diego CA 92120-3478. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology, which is considered as his primary health care specialty. Bae, Jae Gon can be contacted via phone (954) 393-9732.

Contact Information

Primary practice address
4440 Twain Ave Apt 277 San Diego CA 92120-3478
Phone: (954) 393-9732
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X CRT89082 Florida
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X RHN00004203 California

Profile Details

NPI number 1275072100
LBN Legal business name Bae, Jae Gon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2017
Last updated Apr 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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