| Jilin Bai Md Professional Corporation | |
|
25775 Mcbean Pkwy Ste 106 Santa Clarita CA 91355-3702 | |
| (661) 263-5033 | |
| (661) 254-4285 |
| Full Name | Jilin Bai Md Professional Corporation |
|---|---|
| Speciality | General Practice |
| Location | 25775 Mcbean Pkwy Ste 106, Santa Clarita, California |
| Authorized Official Name and Position | Jilin Bai (PRESIDENT) |
| Authorized Official Contact | 8608828173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jilin Bai Md Professional Corporation 27522 Artine Dr Santa Clarita CA 91350-2182 Ph: () - | Jilin Bai Md Professional Corporation 25775 Mcbean Pkwy Ste 106 Santa Clarita CA 91355-3702 Ph: (661) 263-5033 |
| NPI Number | 1336691740 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 08/30/2018 |
| Medicare PECOS PAC ID | 0042581308 |
|---|---|
| Medicare Enrollment ID | O20170803003814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336691740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jilin Bai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003102856 PECOS PAC ID: 3274856711 Enrollment ID: I20150108000752 |
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