Bae, Ho Seob
Bae, Ho Seob is an sole proprietor health care provider with primary practice located at 520 S Virgil Ave Ste 202 , Los Angeles CA 90020-1425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bae, Ho Seob can be contacted via phone (213) 368-0360.Contact Information
Primary practice address
520 S Virgil Ave Ste 202
Los Angeles CA 90020-1425
Phone: (213) 368-0360
Fax: (213) 368-0976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G83132 | California |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | G83132 | California |
Profile Details
| NPI number | 1053337998 |
|---|---|
| LBN Legal business name | Bae, Ho Seob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Nov 22nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053337998 | NPPES |
| California | MEDICAID | 00G831320 | |
| California | Other | 352166127 |
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