Active NPI
Yeung Hwa Kwon, L.AC., PHD, OMD
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1124166756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4960
- Practice address
- 2897 W Olympic Blvd Ste 202
Los Angeles, CA 90006-2639 - Phone
- (213) 386-7582
- Fax
- (213) 386-7583
- NPI assigned
- Feb 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4960 | CA | Primary |
Addresses
Primary practice location
2897 W Olympic Blvd Ste 202
Los Angeles, CA 90006-2639
Mailing address
23136 Samuel St Apt 109
Torrance, CA 90505-3814
Phone (213) 247-4655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1051815 | Other | CA | AMERICAN SPECIALTY HEALTH |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC4960 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elim Acupuncture Group, Inc. | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1700311669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1124166756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23136 SAMUEL ST APT 109",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053814",
"telephone_number": "213-247-4655",
"fax_number": "213-386-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2897 W OLYMPIC BLVD STE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062639",
"telephone_number": "213-386-7582",
"fax_number": "213-386-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "YEUNG",
"middle_name": "HWA",
"name_prefix": "Dr.",
"credential": "L.AC., PHD, OMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-04",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY HEALTH",
"identifier": "1051815",
"state": "CA"
}
],
"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 Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.