Individual provider Active NPI

Queenie NG, L. AC

  • Acupuncturist
  • Huntington Park, CA
National Provider Identifier
1053643437
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13189 Issued in CA
Practice address
2673 Zoe Ave
Huntington Park, CA 90255-4144
Phone
(323) 584-4230
NPI assigned
Feb 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC13189 CA Primary

Addresses

Primary practice location

2673 Zoe Ave
Huntington Park, CA 90255-4144

Mailing address

PO Box 7166
Alhambra, CA 91802-7166
Phone (424) 645-1655

Other practice location 1

3818 Ocean View Blvd
Montrose, CA 91020-1621
Phone (424) 645-1655

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
AC13189CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1053643437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7166",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918027166",
            "telephone_number": "424-645-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 ZOE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554144",
            "telephone_number": "323-584-4230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3818 Ocean View Blvd",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CA",
            "postal_code": "910201621",
            "country_code": "US",
            "telephone_number": "424-645-1655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "QUEENIE",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.