| Baron Medical Group | |
|
3800 Wilshire Blvd Ste 207a Los Angeles CA 90010-3233 | |
| (213) 985-7777 | |
| (213) 900-1030 |
| Full Name | Baron Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 Wilshire Blvd Ste 207a, Los Angeles, California |
| Authorized Official Name and Position | Daesoon Leem (PRESIDENT) |
| Authorized Official Contact | 2139857777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baron Medical Group 3800 Wilshire Blvd Ste 207a Los Angeles CA 90010-3233 Ph: (213) 985-7777 | Baron Medical Group 3800 Wilshire Blvd Ste 207a Los Angeles CA 90010-3233 Ph: (213) 985-7777 |
| NPI Number | 1740969591 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 01/20/2025 |
| Medicare PECOS PAC ID | 0042674459 |
|---|---|
| Medicare Enrollment ID | O20230918002233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740969591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daesoon Leem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902289226 PECOS PAC ID: 0749593697 Enrollment ID: I20200115000019 |
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