Individual provider · Type 1 NPI

Ji Seon Bae

Family Nurse Practitioner · Carson, CA

NPI number 1619390630 Active

About NPI 1619390630

Ji Seon Bae's National Provider Identifier is 1619390630, issued on Jan 27, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carson, CA. The record was last updated on Jan 27, 2014.