Organization Active NPI

J Bae Chiropractic, Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1871889592
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29321 Issued in CA
Legal business name
J BAE CHIROPRACTIC, INC
Practice address
2560 W Olympic Blvd
Suite 304
Los Angeles, CA 90006-2972
Phone
(213) 256-4239
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dr. Jimmy J Bae, D.C.
Title
President
Phone
(213) 256-4239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC29321 CA Primary

Addresses

Primary practice location

2560 W Olympic Blvd
Suite 304
Los Angeles, CA 90006-2972

Mailing address

2560 W Olympic Blvd
Suite 304
Los Angeles, CA 90006-2972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1871889592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 W OLYMPIC BLVD",
            "address_2": "SUITE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 W OLYMPIC BLVD",
            "address_2": "SUITE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062972",
            "telephone_number": "213-256-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BAE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-256-4239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.