JW JACOB CHAE DMD INC NPI 1780412890

NPI Information

  • NPI: 1780412890
  • Provider Name: JW JACOB CHAE DMD INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 15862 IMPERIAL HWY
    LA MIRADA, CA
    ZIP 90638
  • Phone: (213) 705-3811

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NPI Details

JW JACOB CHAE DMD INC is a general practice dentist in La Mirada, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JW JACOB CHAE DMD INC NPI is 1780412890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15862 IMPERIAL HWY
LA MIRADA, CA
ZIP 90638-512
Phone: (213) 705-3811

The provider's authorized official is Jacob Chae .
The authorized official title is Ceo/dentist and has the following contact phone number (213) 705-3811.

The enumeration date for this NPI number is 7/22/2024 and was last updated on 8/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes
2261QD0000XClinic/CenterDentalNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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