Individual provider Active NPI

Youngjune Yoon, LAC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1043522717
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12287 Issued in CA
Practice address
10801 National Blvd
Suite 340
Los Angeles, CA 90064-4139
Phone
(310) 780-1203
Fax
(323) 389-2002
NPI assigned
Jul 9, 2010
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC12287 CA Primary

Addresses

Primary practice location

10801 National Blvd
Suite 340
Los Angeles, CA 90064-4139

Mailing address

432 S Curson Ave
#6M
Los Angeles, CA 90036-5218
Phone (310) 780-1203

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

LicenseStateTypeSpecialty
AC12287CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1043522717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 S CURSON AVE",
            "address_2": "#6M",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365218",
            "telephone_number": "310-780-1203",
            "fax_number": "323-389-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD",
            "address_2": "SUITE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644139",
            "telephone_number": "310-780-1203",
            "fax_number": "323-389-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "YOUNGJUNE",
        "name_prefix": "Mr.",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.