Individual provider Active NPI

Jeremy Bonghyun Che, L.AC.

  • Acupuncturist
  • North Hollywood, CA
National Provider Identifier
1053575894
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11092 Issued in CA
Practice address
12727 Sherman Way
C05
North Hollywood, CA 91605-5032
Phone
(818) 982-8398
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11092 CA Primary

Addresses

Primary practice location

12727 Sherman Way
C05
North Hollywood, CA 91605-5032

Mailing address

12727 Sherman Way
C05
North Hollywood, CA 91605-5032
Phone (818) 982-8398

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
AC11092CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1053575894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 SHERMAN WAY",
            "address_2": "C05",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055032",
            "telephone_number": "818-982-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 SHERMAN WAY",
            "address_2": "C05",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055032",
            "telephone_number": "818-982-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHE",
        "first_name": "JEREMY",
        "middle_name": "BONGHYUN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.