Jae Gon Bae
Jae Gon Bae is a Nuclear Medicine Technology Radiologic Technologist in San Diego, California. Licensed in California and Florida. Registered with an NPI since 2017.
- Licensed in
- CA, FL
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
4440 Twain Ave Apt 277San Diego, CA 92120-3478
Phone: (954) 393-9732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nuclear Medicine Technology Radiologic Technologist (primary) | Taxonomy 2471N0900X · Licence RHN00004203 (CA) |
|---|---|
| Nuclear Medicine Technology Radiologic Technologist | Taxonomy 2471N0900X · Licence CRT89082 (FL) |
Record details
| NPI number | 1275072100 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 12, 2017 |
| Last updated in NPPES | April 6, 2021 |
| Certification date | April 6, 2021 |
| Mailing address | 4440 Twain Ave Apt 277, San Diego, CA 92120-3478 |