Soo J Bae, L.AC. PH.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

11980 Issued in CA

Practice address

1201 S Beach Blvd
Suite 107
La Habra, CA 90631-6366

Phone

(562) 902-1223

NPI assigned

Mar 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1487826640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BEACH BLVD",
            "address_2": "SUITE 107",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316366",
            "telephone_number": "562-902-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BEACH BLVD",
            "address_2": "SUITE 107",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316366",
            "telephone_number": "562-902-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "SOO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "L.AC. PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Austin, ASCW
• Avicure, Inc
• Wendy Aviles, CPT II
• Morcos Azer
• Jongil Bae, D.C.
• Simon Baek, M.D.
• Ana Rosa Balarezo
• JC Frances Castillo Baloy
• Paul Emerson Baloy
• Johanne Baluyot, D.D.S.

• Acupuncturist in La Habra, CA
• Providers in La Habra, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.