| Sang H Baik M.D. | |
|
266 S Harvard Blvd Ste 110 Los Angeles CA 90004-4374 | |
| (213) 388-1111 | |
| (213) 637-4755 |
| Full Name | Sang H Baik M.D. |
|---|---|
| Speciality | Internal Medicine |
| Location | 266 S Harvard Blvd Ste 110, Los Angeles, California |
| Authorized Official Name and Position | Sang Hyun Baik (PRESIDENT) |
| Authorized Official Contact | 2133881111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sang H Baik M.D. 266 S Harvard Blvd Ste 110 Los Angeles CA 90004-4374 Ph: (213) 388-1111 | Sang H Baik M.D. 266 S Harvard Blvd Ste 110 Los Angeles CA 90004-4374 Ph: (213) 388-1111 |
| NPI Number | 1780886424 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Medicare PECOS PAC ID | 8628178225 |
|---|---|
| Medicare Enrollment ID | O20070711000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780886424 | NPI | - | NPPES |
| 1285732370 | Other | CA | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G83759 (California) | Primary |
| Provider Name | Sang H Baik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285732370 PECOS PAC ID: 1557461159 Enrollment ID: I20070711000928 |
| Provider Name | Soon Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821088162 PECOS PAC ID: 6002958873 Enrollment ID: I20161219000263 |
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