Gordon Hyeonjin Bae (NPI# 1003265653, PAC ID# 9133413867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1003265653 |
| PAC ID by PECOS | 9133413867 |
| Professional Enrollment ID | I20190725003238 |
| Full Name | Gordon Hyeonjin Bae |
| Organization Legal Name | DR JEFFREY BORTZ, INC |
| Address |
355 Lennon Ln Suite 255 Walnut Creek CA 94598-2496 |
| Phone Number | 9259327704 |
| Gender | M |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 2016 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1052418175 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 | 9259327704 | DR JEFFREY BORTZ, INC |
| Organization Legal Name | DR JEFFREY BORTZ, INC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia K Loo | Physician Assistant | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Chen Chen | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Vikas K Patel | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Joy Makdisi | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Peter Young | Physician Assistant | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Bryan O Barnett | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Jill Tamsen Mcleod | Physician Assistant | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Hina I Ahmad | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Helen O Chodsky | Physician Assistant | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Michael Bertram Hall | Otolaryngology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Street Address |
355 LENNON LN SUITE 255 |
| City | WALNUT CREEK |
| State | CA |
| Zip | 94598-2496 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia K Loo | Physician Assistant | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Chen Chen | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Vikas K Patel | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Joy Makdisi | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Peter Young | Physician Assistant | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Bryan O Barnett | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Jill Tamsen Mcleod | Physician Assistant | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Hina I Ahmad | Dermatology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Helen O Chodsky | Physician Assistant | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Michael Bertram Hall | Otolaryngology | Dr Jeffrey Bortz, Inc | 355 Lennon Ln, Suite 255, Walnut Creek, CA 94598-2496 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Louis Rotman | Internal Medicine | 1535 Treat Blvd, Walnut Creek, CA 94598-1043 | |
| George Baloyra | Chiropractic | 1511 Treat Boulevard, Suite 100, Walnut Creek, CA 94598-1099 | |
| Maryam Noorivaziri | Chiropractic | 1511 Treat Blvd, Suite 100, Walnut Creek, CA 94598-1099 | |
| Tolulope D Ojeyemi | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Jason A Meierhenry | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Bianca Gonzalez | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Onome A Ogaga | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Martha J Eppenberger | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 738 Bancroft Rd, Walnut Creek, CA 94598-1531 |
| Joseph A Baratta | Chiropractic | 2815 Mitchell Dr, Suite 101, Walnut Creek, CA 94598-1622 | |
| Gertrudes A Hernandez | Psychologist, Clinical | 2815 Mitchell Dr, Suite 128, Walnut Creek, CA 94598-1622 | |
| Find all physicians in zip 94598 | |||
| City | WALNUT CREEK |
| Zip Code | 94598 |
| Specialty | DERMATOLOGY |
| City + Specialty | WALNUT CREEK + DERMATOLOGY |
Please comment or provide details below to improve the information on Gordon Hyeonjin Bae.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.