Individual provider Active NPI

Eun Kyung Lee, L.AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1104123272
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11067 Issued in CA
Practice address
445 S Hobart Blvd Apt 311
Los Angeles, CA 90020
Phone
(213) 568-9192
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 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 11067 CA Primary

Addresses

Primary practice location

445 S Hobart Blvd Apt 311
Los Angeles, CA 90020

Mailing address

445 S Hobart Blvd Apt 311
Los Angeles, CA 90020-3690
Phone (213) 568-9192

Other practice location 1

3160 W 5th St Apt 202
Los Angeles, CA 90020-1532
Phone (213) 568-9192

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Acupuncture Corp Acupuncturist CurrentSince Oct 23, 2022 Accepting new patients

Locations

5300 Lennox Ave
Ste 102
Bakersfield, CA 93309
Phone (661) 246-4275

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": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1104123272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 S HOBART BLVD APT 311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203690",
            "telephone_number": "213-568-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S HOBART BLVD APT 311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90020",
            "telephone_number": "213-568-9192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 W 5th St Apt 202",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900201532",
            "country_code": "US",
            "telephone_number": "213-568-9192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUN KYUNG",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.