P.H. Bae, DDS,Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

50034 Issued in CA

Legal business name

P.H. BAE, DDS,INC.

Doing business as

Dr. Bae's Dental Playground

Practice address

3651 Crenshaw Blvd
Los Angeles, CA 90016-4849

Phone

(323) 291-3900

NPI assigned

Sep 20, 2010

Last updated

Oct 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Hyun Bae

Title

Owner/ President

Phone

(323) 291-3900

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bae's Dental Playground Doing business as

Locations

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285977600000",
    "number": "1659689016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164849",
            "telephone_number": "323-291-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164849",
            "telephone_number": "323-291-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.H. BAE, DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-10-02",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "323-291-3900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bae's Dental Playground",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2010; 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.