Lee & Bae Gi Medical Corporation

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

LEE & BAE GI MEDICAL CORPORATION

Practice address

3200 Wilshire Blvd Ste 101
Los Angeles, CA 90010-1307

Phone

(213) 739-9988

Fax

(213) 739-0030

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ho S Bae, MD

Title

President

Phone

(213) 739-9988

Specialties & licenses 1

Addresses

Other names 1

• Wilshire Endoscopy Center Doing business as

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1619181765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WILSHIRE BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101307",
            "telephone_number": "213-739-9988",
            "fax_number": "213-739-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WILSHIRE BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101307",
            "telephone_number": "213-739-9988",
            "fax_number": "213-739-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE & BAE GI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "HO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-739-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilshire Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perla Ledezma
• Clarissa Joyce Ledford, MSN, NNP B-C
• Iskra Isabel Ledic, FNP-C, MSN, PHN
• Annie Ledoux, DDS
• Paola Ledwin
• Emma Kealani Lynn Lee Archambeau
• Alfredo Lee Chang, MD
• Lee Chiropractic & Angel Health Center, Inc.
• Lee Orthopedic Institute
• Lee Orthopedic Institute, a Professional Medical Corporation

• Endoscopy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Endoscopy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.