Dr. Ho Seob Bae
Gastroenterologist
520 S Virgil Ave Ste 202
Los Angeles
, California 90020-1425
Dr. Ho Seob Bae
Gastroenterologist
520 S Virgil Ave Ste 202
Los Angeles
, California 90020-1425
(213) 368-0976
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Ho Seob Bae
- 520 S Virgil Ave Ste 202
- Los Angeles, CA
- Zip : 90020-1425
- Fax : (213) 368-0976
- Phone : (213) 368-0360
Second Address
- Dr. Ho Seob Bae
- 520 S Virgil Ave Ste 202
- Los Angeles, CA
- Zip : 90020-1425
- Fax : (213) 368-0976
- Phone : (213) 368-0360
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Is Dr. Ho Seob Bae a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | G83132 | CA |
National Provider Identifier
| NPI | 1053337998 |
|---|---|
| Provider Name | Dr. Ho Seob Bae |
| First Address | Los Angeles, CA 90020-1425 |
| Second Address | Los Angeles, CA 90020-1425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 23/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G831320 | (05) | CA |
| 352166127 | TAX ID (01) | |
| H52180 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.