Chaewon Bae

Pharmacist · Colton, CA

Individual Active NPI

NPI number 1508615352

Practice location

1040 S Mount Vernon Ave Ste E
Colton, CA 92324-4228
Phone
(909) 222-4884

Open in Google Maps

NPI record

NPI
1508615352
Entity type
Individual (Type 1)
Enumeration date
May 15, 2024
Last updated
May 15, 2024
Certified
May 15, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 89560 CA

Mailing address

25233 Shepardson Dr Apt 4
Loma Linda, CA 92354-2925
Phone
(951) 772-2641

About Chaewon Bae

Chaewon Bae is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1040 S Mount Vernon Ave Ste E, Colton, CA 92324-4228. The NPI number 1508615352 was assigned on May 15, 2024 and the record was last updated on May 15, 2024.

Chaewon Bae lists a license in the registry: #89560 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chaewon Bae?

The NPI number is 1508615352.

What is the phone number of Chaewon Bae?

The phone number listed for the practice location is (909) 222-4884.

Where is Chaewon Bae located?

1040 S Mount Vernon Ave Ste E, Colton, CA 92324-4228.

What is the taxonomy code for Chaewon Bae?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Colton

All Pharmacist providers in Colton, CA →