Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1003431875 |
---|---|
Provider Name | Christine Baik |
First Address | Huntington Park, CA 90255-3699 |
Second Address | Huntington Park, CA 90255-3699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2020 |
Last Update Date | 08/06/2020 |