Most Relevant Information
Provider Data
| NPI Number: | 1003265653 |
| Provider Name: | GORDON HYEONJIN BAE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | A150572 |
Most Important Dates
| Enumeration Date: | 06/05/2016 |
| Last Updated: | 04/16/2024 |
Provider Practice Location
300 PASTEUR DR
STANFORD
CA
943052200
Practice Location Phone/Fax
| Phone: | 6507234000 |
| Fax: |
Provider Mailing Location
450 BROADWAY ST
REDWOOD CITY
CA
940633132
Provider Mailing Phone/Fax
| Phone: | 6507236316 |
| Fax: |