Bae, Ji Seon

Bae, Ji Seon is an individual health care provider with primary practice located at 23517 Main St Ste 103 , Carson CA 90745-5234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bae, Ji Seon can be contacted via phone (562) 889-8787.

Contact Information

Primary practice address
23517 Main St Ste 103 Carson CA 90745-5234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23263 California

Profile Details

NPI number 1619390630
LBN Legal business name Bae, Ji Seon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2014
Last updated Jan 27th, 2014 - about 10 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.

Request for update

Popular Providers