Yi-Chun Ko, DTCM, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC19245 Issued in CA

Practice address

1011 Camino del Rio S Ste 100
San Diego, CA 92108-3532

Phone

(619) 915-6007

NPI assigned

Jan 3, 2024

Sex

Female

Sole proprietor

No

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

Locations

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

• The Om Acupuncture Wellness, Inc

  • Acupuncturist
  • San Diego, CA
  • NPI 1598495269
  NPD
• SD Health and Acupuncture

  • Acupuncturist
  • San Diego, CA
  • NPI 1043974769
  NPD (past)

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1104696970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W HARBOR DR UNIT 1706",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017757",
            "telephone_number": "185-826-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CAMINO DEL RIO S STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083532",
            "telephone_number": "619-915-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "YI-CHUN",
        "name_prefix": "Dr.",
        "credential": "DTCM, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heeseon Ko, D.D.S.
• Ji Eun Ko, MS
• Jordan Ko, PHD
• Reisa Ko
• Ryan Ko, RPH
• Danielle Kobata
• Kyohei Kobayashi
• Leslie M Kobayashi, M.D.
• Marc E Kobernick, MD
• Lexie Kobey, NONE

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

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