Individual ProviderGaseon BaikAcupuncturistOther Service ProvidersPractice Address1352 Irvine Blvd Ste 105, Tustin, CA 92780-3549(657) 245-3357PECOS EnrollmentBased on the most recent information from CMS, provider Gaseon Baik does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1124476981Provider TypeIndividualFull NameBaik, GaseonGenderMaleSole ProprietorYesEnumeration Date6/1/2016Last Updated4/11/2017Contact InformationPractice LocationPractice Address1352 Irvine Blvd Ste 105, Tustin, CA 92780-3549Phone(657) 245-3357Fax(657) 245-3297Mailing LocationMailing Address1352 Irvine Blvd Ste 105, Tustin, CA 92780-3549Phone(657) 245-3357Fax(657) 245-3297Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC 17039California