Dr. Kelly J Baek
Reproductive Endocrinologist
11818 Wilshire Blvd Suite 300
Los Angeles
, California 90025-6646
Dr. Kelly J Baek
Reproductive Endocrinologist
11818 Wilshire Blvd Suite 300
Los Angeles
, California 90025-6646
(310) 828-3310
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Kelly J Baek
- 11818 Wilshire Blvd Suite 300
- Los Angeles, CA
- Zip : 90025-6646
- Fax : (310) 828-3310
- Phone : (310) 828-4008
Second Address
- Dr. Kelly J Baek
- 11818 Wilshire Blvd Suite 300
- Los Angeles, CA
- Zip : 90025-6646
- Fax : (310) 828-3310
- Phone : (310) 828-4008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 25MA08120900 | NJ |
| N | 207VE0102X | Reproductive Endocrinologist | C53761 | CA |
National Provider Identifier
| NPI | 1144385212 |
|---|---|
| Provider Name | Dr. Kelly J Baek |
| First Address | Los Angeles, CA 90025-6646 |
| Second Address | Los Angeles, CA 90025-6646 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2006 |
| Last Update Date | 08/01/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.