Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Seong Gon Bae MD Inc

Organization Surgery Physician · NPI 1700215548

Seong Gon Bae MD Inc is a Surgery Physician in Van Nuys, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15211 Vanowen St Unit 200
Van Nuys, CA 91405-3606
Phone: (818) 782-3255
Fax: (818) 782-7026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A123341 (CA)

Record details

NPI number1700215548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seong Bae — Ceo · (818) 782-3255
NPI enumeratedNovember 2, 2013
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address230 S Jackson St Apt 309, Glendale, CA 91205-1592

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