Jiwon Bae, LAC is a
Acupuncturist based in Los Angeles, California. Jiwon Bae is licensed to practice in California (license number 20011) and her current practice location is
3030 Sawtelle Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 390-9018.
NPI number for Jiwon Bae is 1639920036 and her current mailing address is 14642 Newport Ave Ste 105, Tustin, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639920036.
Healthcare Provider's Profile
Full Name | Jiwon Bae |
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Gender | Female |
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Speciality | Acupuncturist |
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Location | 3030 Sawtelle Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639920036
- Provider Enumeration Date: 04/01/2024
- Last Update Date: 04/01/2024
Medical Identifiers
Medical identifiers for Jiwon Bae such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639920036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 36057 (California) | Secondary |
171100000X | Acupuncturist | 20011 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jiwon Bae is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jiwon Bae, LAC 14642 Newport Ave Ste 105, Tustin, CA 92780-6058 Ph: () - | Jiwon Bae, LAC 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 Ph: (310) 390-9018 |
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