Kim, Charles Chol Bae

Kim, Charles Chol Bae is an sole proprietor health care provider with primary practice located at 14642 Newport Ave Ste 105 , Tustin CA 92780-6058. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Kim, Charles Chol Bae can be contacted via phone (714) 831-1112.

Contact Information

Primary practice address
14642 Newport Ave Ste 105 Tustin CA 92780-6058
Phone: (714) 831-1112
Fax: (714) 486-2309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 54481 Arizona
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X C-129160 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X C129160 California

Profile Details

NPI number 1225564818
LBN Legal business name Kim, Charles Chol Bae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2017
Last updated Oct 13th, 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.

Request for update

Popular Providers