Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jung Moon Bae, MD

Individual provider Nephrology Physician · NPI 1124119805

Dr. Jung Moon Bae, MD is an Internal Medicine in Los Angeles, California. Qualified in 1980, 46 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1245 Wilshire Blvd Ste 785
Los Angeles, CA 90017-4881
Phone: (213) 389-3200
Fax: (213) 572-0515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A45605 (CA)
Nephrology Physician Taxonomy 207RN0300X · Licence A45605 (CA)

Record details

NPI number1124119805
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESApril 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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