Individual provider · Type 1 NPI
Grace Eungi Bae
Nurse Practitioner · West Hollywood, CA
Practice location
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95031029 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1700761541
Grace Eungi Bae's National Provider Identifier is 1700761541, issued on Aug 11, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Hollywood, CA. The record was last updated on Oct 15, 2025.