P Hyun Bae Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50034 Issued in CA

Legal business name

P HYUN BAE DENTAL CORPORATION

Doing business as

DR. BAE'S DENTAL PLAYGROUND

Practice address

1637 E 103Rd St
Los Angeles, CA 90002-2923

Phone

(323) 563-3322

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Peter Hyun Bae, DDS

Title

Owner/President

Phone

(310) 738-8020

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": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1982102034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S IRVING BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204725",
            "telephone_number": "310-738-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 E 103RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900022923",
            "telephone_number": "323-563-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P HYUN BAE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "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": "310-738-8020",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. BAE'S DENTAL PLAYGROUND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meriah Ozols, (CD)DONA
• Eda Ozsoy
• Amanda Ozuna, MSW
• Audrey Anika Ozuna
• P & M Healthcare Holdings
• P Taherpour M.D.Inc
• P. M. G.
• P.B. Nikravesh DPM, Apc
• P.H. Bae Dental Corporation
• P.H. Bae, DDS,Inc.

• 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 Jan 24, 2018; 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.