Bai, Eung Koo
Bai, Eung Koo is an sole proprietor health care provider with primary practice located at 12017 East Rosecrans Ave , Norwalk CA 90650. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bai, Eung Koo can be contacted via phone (562) 868-2027.Contact Information
Primary practice address
12017 East Rosecrans Ave
Norwalk CA 90650
Phone: (562) 868-2027
Fax: (562) 868-0033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C41124 | California |
Profile Details
| NPI number | 1962412536 |
|---|---|
| LBN Legal business name | Bai, Eung Koo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jun 11th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962412536 | NPPES |
| California | MEDICAID | 00C411240 |
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