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NPI Code Detail

MEDICARE: JOYCE BAE MS

MEDICARE:   JOYCE  BAE  MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist8949CA

General Provider Information

NPI Number : 1801215280
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE BAE MS
Provider Business Mailing Address
First Line : 19709 FALCON RIDGE LN
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-4027
Country : US
Telephone Number : 818-577-6161
Fax Number :
Provider Business Practice Location Address
First Line : 19709 FALCON RIDGE LN
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-4027
Country : US
Telephone Number : 818-577-6161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2014
Last Update Date : 04/03/2026

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Directions to “ JOYCE BAE MS” Practice Location

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