Jung M. Bae, M.D., Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A45650 Issued in CA

Legal business name

JUNG M. BAE, M.D., INC.

Practice address

1245 Wilshire Blvd Ste 785
Los Angeles, CA 90017-4881

Phone

(213) 389-3200

Fax

(213) 572-0515

NPI assigned

Jul 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jung M Bae, M.D.NPI 1124119805

Title

President

Phone

(213) 389-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jung Moon Bae, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1124119805

  Nephrology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1841502184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 785",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174881",
            "telephone_number": "213-389-3200",
            "fax_number": "213-572-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 785",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174881",
            "telephone_number": "213-389-3200",
            "fax_number": "213-572-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG M. BAE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-389-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A45650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sang H Jun, RD,CC,CSO
• Scott Jun
• Stephanie Jun
• Luigi Juncaj, PA
• Jung Acupuncture & Herbal Clinic
• Jung Medical Center
• Jung Sook Kim Oriental Clinic (Dr. Jayne Kim Acupuncture Clinic)
• Jung Sun Lee (Kingsley Pharmacy)
• Jung Yoon Chang Dental Corp
• Ae Young Jung

• Nephrology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.