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JI SEON BAE
NPI 1619390630
Nurse Practitioner - Family in Carson, CA

Active since January 27, 2014
23517 MAIN ST STE 103, CARSON, CA 90745(562) 889-8787 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ji Seon Bae NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JI SEON BAE (NPI 1619390630) is an individual family provider in Carson, California, licensed in California (23263) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1619390630
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJI SEON BAE
Location Address23517 MAIN ST STE 103Carson, CA 90745-5234
Mailing Address5830 Bonfair AveLakewood, CA 90712-1120 · (562) 889-8787
Phone(562) 889-8787
Sole ProprietorNo
Enumeration DateJanuary 27, 2014
✔ NPI 1619390630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 23263
23517 MAIN ST STE 103, Carson, CA 90745
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BODY BALANCE HOLISTICS
Acupuncturist
23517 MAIN ST STE 103
CARSON, CA 90745
Los Angeles County (818) 940-1168
DR. SHIGEO IRIMAJIRI M.D.
General Practice
23517 MAIN ST STE 103
CARSON, CA 90745
Los Angeles County (310) 844-7171
SHRIKANT TAMHANE DO INC
Family Medicine
23517 MAIN ST STE 103
CARSON, CA 90745
Los Angeles County (310) 834-5388
SHRIKANT TAMHANE, DO
Family Medicine
23517 MAIN ST STE 103
CARSON, CA 90745
Los Angeles County (310) 339-4011
DR. SHRIKANT TAMHANE D.O.
Family Medicine
23517 MAIN ST STE 103
CARSON, CA 90745
Los Angeles County (310) 834-5388
MR. JOHN K CHEUNG L.AC, MSOM
Acupuncturist
23517 MAIN ST STE 103
CARSON, CA 90745
Los Angeles County (626) 780-3015
TERESA R MALONE
Registered Nurse
23517 MAIN ST STE 103
CARSON, CA 90745
Los Angeles County (310) 834-5388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ji Seon Bae's NPI number?

The NPI number for Ji Seon Bae is 1619390630. It was assigned to this individual provider in the NPPES registry on January 27, 2014.

Where is Ji Seon Bae located?

Ji Seon Bae practices at 23517 Main St Ste 103, Carson, CA 90745. The listed phone number is (562) 889-8787.

What is Ji Seon Bae's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ji Seon Bae was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.