GORDON HYEONJIN BAE — Medicare Enrolled Provider (PRACTITIONER - DERMATOLOGY, CA)
GORDON HYEONJIN BAE — Medicare Enrolled Provider (PRACTITIONER - DERMATOLOGY, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: GORDON HYEONJIN BAE; Type: Individual; NPI: 1003265653.
| Name | GORDON HYEONJIN BAE |
|---|---|
| Type | Individual |
| NPI | 1003265653 |
| Provider type | PRACTITIONER - DERMATOLOGY |
| State | CA |
| Enrollment ID | I20190725003238 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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