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

Dr. Josh Syungrul Baek, DO

Individual provider Family Medicine Physician · NPI 1568768323

Dr. Josh Syungrul Baek, DO is a Family Practice in Pasadena, California. Qualified in 2009, 17 years ago. Practices with Lakeside Medical Organization a Medical Group Inc, a 65-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

988 S Fair Oaks Ave
Pasadena, CA 91105-2626
Phone: (626) 799-4194
Fax: (626) 799-2053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A11390 (CA)

Record details

NPI number1568768323
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 26, 2011
Last updated in NPPESFebruary 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Lakeside Medical Organization A Medical Group Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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