Eung Koo Bai, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C41124 Issued in CA

Practice address

12017 East Rosecrans Ave
Norwalk, CA 90650

Phone

(562) 868-2027

Fax

(562) 868-0033

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coast Plaza Doctors Hospital

  • General Acute Care Hospital
  • Norwalk, CA
  • NPI 1669429221
  NPD (past)
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1962412536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 ATHERTON CIRCLE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92833",
            "telephone_number": "714-738-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12017 EAST ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-868-2027",
            "fax_number": "562-868-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "EUNG",
        "middle_name": "KOO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C41124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C411240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Astian Ayoola, DO
• B Daniel Binafard DDS
• B.a.R.E. Holistic & Wellness Family Therapy, Inc.
• Vinh Toan Bach, MD
• Alexander Michael Bacher, PSY.D.
• Aaron Keith Baker, PSYD
• Madison Baker
• Irene Ballesteros, APCC
• Noelia Lizeth Ballesteros
• Arizandi Andrea Baltazar

• General Practice Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.