MICHAEL YOONBUM BAE D.D.S. NPI 1790995330

NPI Information

NPI: 1790995330
Provider Name: MICHAEL YOONBUM BAE, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
866 S WESTMORELAND AVE
SUITE 102
LOS ANGELES, CA
ZIP 90005
Phone: (213) 352-1366
Get Directions

Michael Yoonbum Bae, D.D.S. is an oral and maxillofacial surgery dentist in Los Angeles, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Michael Yoonbum Bae, D.D.S. NPI is 1790995330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

866 S WESTMORELAND AVE
SUITE 102
LOS ANGELES, CA
ZIP 90005-502
Phone: (213) 352-1366

The NPI 1790995330 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/27/2019.

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
1	1223G0001X	Dentist	General Practice	27952	CALIFORNIA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	27952	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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