DR. HYEJIN JAE (NPI# 1851607253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851607253 |
| Entity Type | Individual |
| Full Name | DR. HYEJIN JAE |
| Other Name | DR. GRACE JAE |
| Credential | M.D. |
| Practice Address |
12675 La Mirada Blvd Suite 201 La Mirada CA 90638-2200 |
| Practice Telephone | 5629037339 |
| Practice Fax Number | 5629448631 |
| Mailing Telephone | 5629037339 |
| Mailing Fax Number | 5629448631 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2013-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A124121 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12675 LA MIRADA BLVD SUITE 201 |
| City | LA MIRADA |
| State | CA |
| Zip Code | 90638-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962482919 | Rachna Rawal | Pediatrics | 12675 La Mirada Blvd, Suite 200, La Mirada, CA 90638-2200 | 2006-01-17 |
| 1699212977 | Pih Health Physicians | Dermatology | 12675 La Mirada Blvd, La Mirada, CA 90638-2200 | 2017-01-25 |
| 1346587375 | Dorothy Grace Cuason | Nurse Practitioner | 12675 La Mirada Blvd, Suite 401, La Mirada, CA 90638-2200 | 2013-01-10 |
| 1225398035 | Charles Salinger Md Inc. | Dermatology | 12675 La Mirada Blvd, Suite 215, La Mirada, CA 90638-2200 | 2012-05-25 |
| 1831493394 | Anwar and Vaseema Arastu M D Inc | Pediatrics | 12675 La Mirada Blvd, Suite 200, La Mirada, CA 90638-2200 | 2010-12-27 |
| 1295062214 | Rachna Rawal Md Inc | Pediatrics | 12675 La Mirada Blvd, Ste 200, La Mirada, CA 90638-2200 | 2009-11-12 |
| 1528201639 | Lori J Cureton | Nurse Practitioner | 12675 La Mirada Blvd, Suite 401, La Mirada, CA 90638-2200 | 2009-04-20 |
| 1790928984 | Presbyterian Intercommunity Hospital, Inc. | Clinic/Center | 12675 La Mirada Blvd, La Mirada, CA 90638-2200 | 2009-04-17 |
| 1982857967 | Pih Health Physicians | Dermatology | 12675 La Mirada Blvd, Suite 201, 300, 301, 401, La Mirada, CA 90638-2200 | 2008-11-04 |
| 1881882447 | Anwar & Vaseema Arastu, Md, Inc | Internal Medicine | 12675 La Mirada Blvd, Suite 400, La Mirada, CA 90638-2200 | 2007-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144095 | Amanda Connell | Counselor | 13710 La Mirada Blvd., Straight Talk, La Mirada, CA 90638 | 2019-09-30 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
| 1124520606 | Meredith Narcisse | Counselor | Aegis Treatment Center 14240 Imperial Hwy, La Mirida, CA 90638 | 2018-03-01 |
| 1336685114 | Dorina Hamilton | Counselor | 14240 E. Imperial Hwy., La Mirada, CA 90638 | 2017-01-17 |
| 1497201768 | Blm Pharmacy Inc | Pharmacy | 12675 La Mirada Blvd., Suite 100, La Mirada, CA 90638 | 2016-08-28 |
| 1972954535 | Wendy Tran | Dentist | 12265 La Mirada Blvd, La Mirada, CA 90638 | 2016-06-24 |
| 1962851410 | Amy Bender | Counselor | 14240 Imperial Highway, La Mirada, CA 90638 | 2016-06-06 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1750797098 | Napoleon Tiquia | General Practice | 12049 Hartdale Avenue, La Mirada, CA 90638 | 2014-07-08 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841676491 | Nghia Xuan Pham | Family Medicine | 12739 Biola Ave, La Mirada, CA 90638-2158 | 2015-08-06 |
| 1780022327 | Gregory John Galbreath | Family Medicine | 12675 La Mirada Blvd Ste 201, La Mirada, CA 90638-2235 | 2013-06-05 |
| 1922279595 | Michaels Medical Group | Family Medicine | 15090 Imperial Hwy, La Mirada, CA 90638-1301 | 2008-03-21 |
| 1710168687 | Kedy Ying Jao D.o. A Medical Corp | Family Medicine | 12675 La Mirada Blvd Ste 220, La Mirada, CA 90638-2235 | 2007-11-20 |
| 1417978644 | Rafael Rubalcava | Family Medicine | 15034 Imperial Hwy, La Mirada, CA 90638-1301 | 2006-07-22 |
| 1932467347 | Eileen Lee | Family Medicine | 15330 Valley View Ave Ste 1, La Mirada, CA 90638-5238 | 2012-04-24 |
| 1548412869 | Joseph Ravenna Jr. | Family Medicine | 15651 Imperial Hwy, Suite 101, La Mirada, CA 90638-1628 | 2008-10-17 |
| 1811068190 | Dongsoo Shin | Family Medicine | 15651 Imperial Hwy, Suite 205, La Mirada, CA 90638-1628 | 2006-11-10 |
| 1447332911 | Anthony Reyes Jr. | Family Medicine | 12675 La Mirada Blvd, Suite 201, La Mirada, CA 90638-2200 | 2006-10-20 |
| 1255423323 | Alexander A Mendez | Family Medicine | 12675 La Mirada Blvd, Suite 201, La Mirada, CA 90638-2200 | 2006-09-28 |
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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.