MEDICARE: HELEN BAE CHIROPRACTIC

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
1	111N00000X	Chiropractor	DC26180	CA

General Provider Information

NPI Number	:	1386725919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELEN BAE CHIROPRACTIC

Provider Business Mailing Address
First Line	:	15550 ROCKFIELD BLVD
Second Line	:	B220
City	:	IRVINE
State	:	CA
Zip	:	92618-2720
Country	:	US
Telephone Number	:	949-598-9999
Fax Number	:	949-598-9990

Provider Business Practice Location Address
First Line	:	1790 HAMILTON AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-5424
Country	:	US
Telephone Number	:	510-381-3561
Fax Number	:	408-626-7365

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	SOUNGYEON HELEN BAE
Credential	:	D.C.
Telephone Number	:	510-381-3561

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	06/24/2008

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