Kwang Bum Lee, L..AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 8176 Issued in CA

Practice address

15651 Imperial Hwy Ste 201a
La Mirada, CA 90638-1653

Phone

(562) 943-9800

Fax

(562) 943-9859

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Traditional Acupuncture

  dba Advanced Acupuncture

  • Acupuncturist
  • Temecula, CA
  • NPI 1063294544
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013056688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY STE 201A",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381653",
            "telephone_number": "562-943-9800",
            "fax_number": "562-943-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY STE 201A",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381653",
            "telephone_number": "562-943-9800",
            "fax_number": "562-943-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KWANG",
        "middle_name": "BUM",
        "name_prefix": "Mr.",
        "credential": "L..AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 8176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Y Lee, LAC PHD
• Eileen Lee, M.D.
• Helen Lee
• Justine Mai Lee, PHARMD
• Katherine Lee
• Minjin Lee
• Sang Heon Lee, LAC.
• Rona Legaspi, RPT
• Rebecca Jean Lengle, NP
• Teresa Leung, D.O

• Acupuncturist in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.