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

Jiwon Bae, LAC

Individual provider Chiropractor · NPI 1639920036

Jiwon Bae, LAC is a Chiropractor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone: (310) 390-9018
Fax: (310) 390-0868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 20011 (CA)
Chiropractor Taxonomy 111N00000X · Licence 36057 (CA)

Record details

NPI number1639920036
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateMarch 31, 2021
Mailing address14642 Newport Ave Ste 105, Tustin, CA 92780-6058

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