Baik, Charles Chulho

Baik, Charles Chulho is an sole proprietor health care provider with primary practice located at 17400 Irvine Blvd Suite H, Tustin CA 92780-3030. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Baik, Charles Chulho can be contacted via phone (714) 832-7212.

Contact Information

Primary practice address
17400 Irvine Blvd Suite H Tustin CA 92780-3030
Fax: (714) 832-0554
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4583 California

Profile Details

NPI number 1871604314
LBN Legal business name Baik, Charles Chulho
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 24th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871604314 NPPES
California MEDICAID 000E45830

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