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Next Update: Thursday, December 19, 2024 2:50 AM CST

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BAE, MOON SOON       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: LOMA LINDA V.A. HOSP.
11201 BENTON STREET
LOMA LINDA CA 92357
Phone #: (909) 825-7084 x2250
Fax #: (909) 383-6086
County: NOT OKLAHOMA
License: 12119
Dated: 2/5/1979
Expires: 2/1/2006
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Ewha Woman's Univ, Coll Of Med, Seoul, So Korea
Graduated: 2 / 1965
CME Year: 2007
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PHYSICAL MEDICINE/REHABILITATION
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LOMA LINDA V.A. HOSP.
11201 BENTON STREET
LOMA LINDA CA 92357

Phone #: (909) 825-7084 x2250
Fax #: (909) 383-6086

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