Active NPI
Suchin Kang, L.ACL
- Acupuncturist
- San Diego, CA
National Provider Identifier
1013158203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12972
- Practice address
- 3320 2ND Ave
San Diego, CA 92103-5612 - Phone
- (619) 675-6877
- NPI assigned
- Mar 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12972 | CA | Primary |
Addresses
Primary practice location
3320 2ND Ave
San Diego, CA 92103-5612
Mailing address
3940 7TH Ave
Unit 102
San Diego, CA 92103-3299
Phone (619) 295-1353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12972 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1013158203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 7TH AVE",
"address_2": "UNIT 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033299",
"telephone_number": "619-295-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 2ND AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035612",
"telephone_number": "619-675-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "SUCHIN",
"credential": "L.ACL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "12972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.