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

Ji Seon Bae

Individual provider Family Nurse Practitioner · NPI 1619390630

Ji Seon Bae is a Family Nurse Practitioner in Carson, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

23517 Main St Ste 103
Carson, CA 90745-5234
Phone: (562) 889-8787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23263 (CA)

Record details

NPI number1619390630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2014
Last updated in NPPESJanuary 27, 2014
Mailing address5830 Bonfair Ave, Lakewood, CA 90712-1120

Other providers in Carson