Susan Bae, Dds, Ms, Inc.

LBN: Susan Bae, Dds, Ms, Inc.
Susan Bae, Dds, Ms, Inc. is an health care organization with primary practice located at 10945 South St Ste 202 , Cerritos CA 90703-5341. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Susan Bae, Dds, Ms, Inc. can be contacted via phone (424) 256-3967, or through Bae, Susan via phone (424) 256-3967.

Contact Information

Primary practice address
10945 South St Ste 202 Cerritos CA 90703-5341
Fax:
Website:
Authorized official contact:
Name: Bae, Susan

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 100794 California

Profile Details

NPI number 1780179176
LBN Legal business name Susan Bae, Dds, Ms, Inc.
DBA Doing business as
Authorized official Bae, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2018
Last updated Jun 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780179176 NPPES
California MEDICAID 100794

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