Carrol Yoonjung Baek, O.T.R./L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3905 Issued in CA

Practice address

25661 Huron St
Loma Linda, CA 92354-3702

Phone

(909) 796-2978

NPI assigned

Aug 11, 2007

Last updated

Aug 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186790400000",
    "number": "1528250743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25661 HURON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543702",
            "telephone_number": "909-796-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25661 HURON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543702",
            "telephone_number": "909-796-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEK",
        "first_name": "CARROL",
        "middle_name": "YOONJUNG",
        "name_prefix": "Ms.",
        "credential": "O.T.R./L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shirley Whiinh Bae, MD
• Won Bae, M.D.
• In Hae Baek, MD
• Juan C. Baez, M.D.
• Amr Khaled Bahjri
• Ayesha Baig, MD
• Antoinette Leve Bailey, MSW

• Occupational Therapist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.