MR. EUNG KOO BAI (NPI# 1962412536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962412536 |
| Entity Type | Individual |
| Full Name | MR. EUNG KOO BAI |
| Credential | MD |
| Practice Address |
12017 East Rosecrans Ave Norwalk CA 90650 |
| Mailing Address |
1482 Atherton Circle Fullerton CA 92833 |
| Practice Telephone | 5628682027 |
| Practice Fax Number | 5628680033 |
| Mailing Telephone | 7147381811 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C41124 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C411240 | 05 |
| Street Address |
12017 EAST ROSECRANS AVE |
| City | NORWALK |
| State | CA |
| Zip Code | 90650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215082235 | Josephine Q Paulo | General Practice | 13710 Studebaker Road, Ste 100, Norwalk, CA 90650 | 2007-01-23 |
| 1972904621 | Lillian Njoku | General Practice | 129 Glover Ave, Norwalk, CT 06850-1345 | 2014-09-12 |
| 1295156982 | San Lucas Medical Clinic, Inc | General Practice | 13939 San Antonio Dr, Norwalk, CA 90650-4036 | 2013-12-23 |
| 1780988683 | Daryoush Farahmand | General Practice | 14034 Pioneer Blvd, First Floor, Norwalk, CA 90650-3900 | 2011-01-06 |
| 1013129964 | Studebaker Medical Group | General Practice | 13132 Studebaker Road, Suite 9, Norwalk, CA 90650-2575 | 2007-05-04 |
| 1093751349 | Vinh Toan Bach | General Practice | 11401 South Bloomfield Avenue, Norwalk, CA 90650 | 2006-06-22 |
| 1497702336 | Dung Np Nguyen | General Practice | 11401 S Bloomfield Ave, Norwalk, CA 90650 | 2006-05-27 |
| 1306893243 | Tuyen N Le | General Practice | 11401 South Bloomfield Avenue, Norwalk, CA 90650 | 2006-05-27 |
| 1376599779 | Daisy Mary Kutty | General Practice | 11401 South Bloomfield Avenue, Norwalk, CA 90650 | 2006-05-26 |
| 1063468478 | Violeta M Anorico | General Practice | 11401 South Bloomfield Avenue, Norwalk, CA 90650 | 2006-05-26 |
| Find all providers in NORWALK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.