| Ho S Bae M D Inc | |
|
520 S Virgil Ave #202 Los Angeles CA 90020-1425 | |
| (213) 368-0360 | |
| (213) 368-0976 |
| Full Name | Ho S Bae M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 S Virgil Ave #202, Los Angeles, California |
| Authorized Official Name and Position | Ho Seob Bae (PRESIDENT.) |
| Authorized Official Contact | 2133680360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ho S Bae M D Inc 520 S Virgil Ave #202 Los Angeles CA 90020-1425 Ph: (213) 368-0360 | Ho S Bae M D Inc 520 S Virgil Ave #202 Los Angeles CA 90020-1425 Ph: (213) 368-0360 |
| NPI Number | 1659513836 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 3577610229 |
|---|---|
| Medicare Enrollment ID | O20090415000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659513836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G83132 (California) | Primary |
| Provider Name | Ho Bae |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053337998 PECOS PAC ID: 1153478243 Enrollment ID: I20090407000104 |
| Provider Name | Pilsoo Oh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043296866 PECOS PAC ID: 4587676028 Enrollment ID: I20101209000723 |
| Provider Name | Michael Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821229972 PECOS PAC ID: 8527244664 Enrollment ID: I20110525000419 |
| Provider Name | Andrew H Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952553380 PECOS PAC ID: 5597826503 Enrollment ID: I20131022002364 |
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