Provider Demographics
NPI:1861926982
Name:BAE, CHAY (DO)
Entity type:Individual
Prefix:
First Name:CHAY
Middle Name:
Last Name:BAE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:26538 MOULTON PKWY., SUITE 38E
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-448-0656
Mailing Address - Fax:949-425-2465
Practice Address - Street 1:26538 MOULTON PKWY., SUITE 38E
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-448-0656
Practice Address - Fax:949-425-2465
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A18562207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology