Individual provider Active NPI

Hye Jin Kwon, L.AC.

  • Acupuncturist
  • Upland, CA
National Provider Identifier
1053648303
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13240 Issued in CA
Practice address
600 N Euclid Ave Ste 203
Upland, CA 91786-4779
Phone
(909) 243-0867
Fax
(909) 532-8666
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC13240 CA Primary

Addresses

Primary practice location

600 N Euclid Ave Ste 203
Upland, CA 91786-4779

Mailing address

600 N Euclid Ave Ste 203
Upland, CA 91786-4779
Phone (909) 243-0867

Other practice location 1

270 E.7th St
Ste 2A
Upland, CA 91786
Phone (909) 243-0867

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
AC13240CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Hands Acupuncture Upland, Inc. Acupuncturist Current Accepting new patients

Locations

600 N Euclid Ave
Ste 203
Upland, CA 91786
Phone (909) 243-0867

270 E 7th St
Ste 2A
Upland, CA 91786
Phone (909) 243-0867

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1053648303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N EUCLID AVE STE 203",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864779",
            "telephone_number": "909-243-0867",
            "fax_number": "909-532-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N EUCLID AVE STE 203",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864779",
            "telephone_number": "909-243-0867",
            "fax_number": "909-532-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 E.7th St",
            "address_2": "Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "91786",
            "country_code": "US",
            "telephone_number": "909-243-0867",
            "fax_number": "909-532-8666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "HYE JIN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.