Jungsoo Wiener, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16976 Issued in CA

Practice address

28501 Canwood St
Unit 3C
Agoura Hills, CA 91301-3206

Phone

(310) 894-8785

NPI assigned

May 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crane& Turtle Acupuncture

  • Acupuncturist
  • Agoura Hills, CA
  • NPI 1134637663
  NPD (past) Authorized official

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1093162158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 SAVONA WAY",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913774841",
            "telephone_number": "310-894-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28501 CANWOOD ST",
            "address_2": "UNIT 3C",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013206",
            "telephone_number": "310-894-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "JUNGSOO",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Crandall-Cohen, M.a. LMFT
• West Coast DME & Supplies LLC
• Elizabeth Therese White, LMFT133427
• Heather Kathlene White, DC
• Judith A. Wiener, L.C.S.W., L.M.F.T.
• Ludmila Williams
• Stephen Carl Winston, PH.D.
• Veronica Sheftz Winston, MFT
• Lauren Anita Wolff, MFT
• Diane Woods, M.S., R.D., C.D.E.

• Acupuncturist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.