Healthcare Provider Details

I. General information

NPI: 1336691740
Provider Name (Legal Business Name): JILIN BAI MD PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2016
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 N GARFIELD AVE STE 202
MONTEREY PARK CA
91754-1700
US

IV. Provider business mailing address

223 N GARFIELD AVE STE 202
MONTEREY PARK CA
91754-1700
US

V. Phone/Fax

Practice location:
  • Phone: 626-382-5860
  • Fax:
Mailing address:
  • Phone: 626-382-5860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JILIN BAI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 626-382-5860