Bae Lim Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BAE LIM DENTAL GROUP

Doing business as

Bae Lim Dental Group

Practice address

3631 W 3Rd St
Los Angeles, CA 90020-2007

Phone

(213) 251-1059

Fax

(213) 251-1056

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By 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

Daniel Y Lim, DDS

Title

Owner/Dentist

Phone

(213) 251-1059

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bae Lim Dental Group Doing business as

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1861084964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202007",
            "telephone_number": "213-251-1059",
            "fax_number": "213-251-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202007",
            "telephone_number": "213-251-1059",
            "fax_number": "213-251-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAE LIM DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "213-251-1059",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bae Lim Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forouz Badri, DDS
• Mohsen Badri, MD, DO, MPH
• Rita Talar Badrosian, MS, ATC
• Bae Lim Dental Corporation
• Bae Lim Dental Corporation
• Bae Oh and Takahashi Inc
• Bianca Bae, PA-C
• Christine Bae
• David Bae, MS, PHD, DDS
• Emily Bae, MD

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.