Dr Jimmy Bae DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

29321 Issued in CA

Legal business name

DR JIMMY BAE DC INC

Practice address

4345 E Lowell St
Suite a
Ontario, CA 91761-2222

Phone

(213) 700-8725

NPI assigned

Jun 1, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jimmy Bae, D.C.

Title

Ceo

Phone

(213) 700-8725

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1124476015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 E LOWELL ST",
            "address_2": "SUITE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 E LOWELL ST",
            "address_2": "SUITE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612222",
            "telephone_number": "213-700-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JIMMY BAE DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-700-8725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Ontario, CA
• Providers in Ontario, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.