Bongchol Yi, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC18939 Issued in CA

Practice address

1437 W Beverly Blvd
Montebello, CA 90640-4154

Phone

(323) 887-7575

Fax

(310) 362-3475

NPI assigned

Sep 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Acuprogroup Inc

  • Acupuncturist
  • Montebello, CA
  • NPI 1487325106
  NPD Authorized official
• Elim Acupuncture Group, Inc.

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1700311669
  NPD (past)
• Sam Hae, Inc

  • Acupuncturist
  • Montebello, CA
  • NPI 1518357243
  NPD (past)

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1073129797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404154",
            "telephone_number": "323-887-7575",
            "fax_number": "310-362-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404154",
            "telephone_number": "323-887-7575",
            "fax_number": "310-362-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "BONGCHOL",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "83912",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vahid Yahoodain, D.D.S
• Bao Bin Yang, MD
• Keumja Yang
• Robert Ming-Rung Yeh, M.D.
• Nina Yen, PHARM.D.
• Yolanda Olvea DDS Inc
• Hee K Yoo, PTA
• Justine Young, D.O., MPH
• Karen M. Young, LMFT
• Kevin Jing Young, PT, DPT

• Acupuncturist in Montebello, CA
• Providers in Montebello, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.