Active NPI
Moonkyoung Whang
- Acupuncturist
- Fullerton, CA
National Provider Identifier
1124582754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC18306
- Practice address
- 817 W Wilshire Ave
Fullerton, CA 92832-1649 - Phone
- (562) 743-7733
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- 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 | AC18306 | CA | Primary |
Addresses
Primary practice location
817 W Wilshire Ave
Fullerton, CA 92832-1649
Mailing address
817 W Wilshire Ave
Fullerton, CA 92832-1649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18306 | Other | CA | ACUPUNCTURE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC18306 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1124582754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 W WILSHIRE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 W WILSHIRE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321649",
"telephone_number": "562-743-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHANG",
"first_name": "MOONKYOUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC18306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "18306",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.