Susan Bae, DDS, Ms, INC.
Dentist, Orthodontics and Dentofacial Orthopedics in Cerritos, CA. Organization (NPI-2).
NPI number1780179176
StatusActive
Last updated in NPPESJul 13, 2025
Details
- NPI
- 1780179176
- Entity type
- Organization (NPI-2)
- Legal business name
- Susan Bae, DDS, Ms, INC.
- Organization subpart
- No
- Enumeration date
- Jun 27, 2018
- Certification date
- Jul 13, 2025
- Last updated
- Jul 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 100794 | CA | Yes |
Other names
- Bae Orthodontics (Doing Business As)
Practice location
10945 South St Ste 202aCerritos, CA 90703-5366
Phone 424-256-3967
Mailing address
325 N Larchmont Blvd Ste 127Los Angeles, CA 90004-3011
Authorized official
Susan Bae
Ceo
4242563967
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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Cerritos, CA
- Badii Lee Dental Corporation, INCNPI 1902179658
- Susan BaeNPI 1427543800
- David Lawrence Sparks, DDSNPI 1417087842
- Mike Michio Yagake, D.D.S.NPI 1790085751
All 5 Orthodontics and Dentofacial Orthopedics Dentistry providers in Cerritos · All 2,293 providers in Cerritos
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