JUNG M. BAE, M.D., INC. (NPI# 1841502184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841502184 |
| Entity Type | Organization |
| Organization Name | JUNG M. BAE, M.D., INC. |
| Practice Address |
1245 Wilshire Blvd Ste 785 Los Angeles CA 90017-4881 |
| Practice Telephone | 2133893200 |
| Practice Fax Number | 2135720515 |
| Mailing Telephone | 2133893200 |
| Mailing Fax Number | 2135720515 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | DR. JUNG M BAE (PRESIDENT) |
| Authorized Official Telephone | 2133893200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A45650 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1245 WILSHIRE BLVD STE 785 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124119805 | Jung Moon Bae | Internal Medicine | 1245 Wilshire Blvd Ste 785, Los Angeles, CA 90017-4881 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619452869 | Kristel Padua Dongallo | Internal Medicine | 1701 Cesar Chavez Ave., Suite 536, Los Angeles, CA 90033 | 2018-10-03 |
| 1487033353 | Los Angeles Kidney Center, A Professional Medical Corporation | Internal Medicine | 1717 Malcolm Ave, Ph 1, Los Angeles, CA 90024-6824 | 2015-05-26 |
| 1841639622 | Anthony Sebastian Montuno | Internal Medicine | 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 | 2013-06-14 |
| 1013351790 | Hong Thi Thanh Dang | Internal Medicine | 4733 W. Sunset Blvd 3rd Floor, Kaiser Permanente Southern California, Los Angeles, CA 90027 | 2013-04-24 |
| 1548574056 | La Familia Medical Group, Inc. | Internal Medicine | 6433 Whittier Blvd, Los Angeles, CA 90022-4627 | 2010-07-27 |
| 1053636977 | Theresa Nilson Henke | Internal Medicine | 8635 W 3rd St Ste 1195w, Los Angeles, CA 90048-6146 | 2010-04-03 |
| 1790014090 | Hira L Jindal M D Inc | Internal Medicine | 711 W College St Ste 590, Los Angeles, CA 90012-1256 | 2009-12-15 |
| 1619175718 | Huma Syeda Hasnain | Internal Medicine | 700 Tiverton Ave, 7-155 Factor Bldg, Los Angeles, CA 90095-8361 | 2007-07-10 |
| 1932237013 | Peter H. Lee | Internal Medicine | 4220 W 3rd St Ste 203, Los Angeles, CA 90020-3450 | 2007-03-01 |
| 1275668733 | Andrew Jay Lewin | Internal Medicine | 2010 Wilshire Blvd Ste 302, Los Angeles, CA 90057-3550 | 2007-02-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.