Dr Steve Sang-woo Bae, MD | |
207 S Santa Anita St, G18, San Gabriel, CA 91776-1146 | |
(626) 233-2853 | |
(626) 626-7773 |
Full Name | Dr Steve Sang-woo Bae |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 23 Years |
Location | 207 S Santa Anita St, San Gabriel, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326072349 | NPI | - | NPPES |
PENDING | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A82405 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ridgecrest Regional Hospital | Ridgecrest, CA | Hospital |
Desert Valley Hospital | Victorville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Desert Valley Medical Group Inc | 4880595875 | 55 |
Ridgecrest Regional Hospital | 9739099896 | 78 |
Entity Name | Desert Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639117864 PECOS PAC ID: 4880595875 Enrollment ID: O20040113000803 |
Entity Name | Ridgecrest Regional Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447253125 PECOS PAC ID: 9739099896 Enrollment ID: O20060929000159 |
Entity Name | Ridgecrest Regional Hospital |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1164067971 PECOS PAC ID: 9739099896 Enrollment ID: O20220404002049 |
Mailing Address | Practice Location Address |
---|---|
Dr Steve Sang-woo Bae, MD 207 S Santa Anita St, G18, San Gabriel, CA 91776-1146 Ph: (626) 233-2853 | Dr Steve Sang-woo Bae, MD 207 S Santa Anita St, G18, San Gabriel, CA 91776-1146 Ph: (626) 233-2853 |
Dr. David Z Chu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 416 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-300-8880 Fax: 626-300-8811 | |
David Fang, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-457-7121 Fax: 626-457-7127 |