Individual provider Active NPI

Kay Joo, L.A.C

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1134465255
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7627 Issued in CA
Practice address
440 Shatto PL
Los Angeles, CA 90020-1793
Phone
(213) 487-0150
NPI assigned
Dec 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7627 CA Primary

Addresses

Primary practice location

440 Shatto PL
Los Angeles, CA 90020-1793

Mailing address

440 Shatto PL
Los Angeles, CA 90020-1793
Phone (213) 487-0150

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

LicenseStateTypeSpecialty
AC7627CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
West East Acupuncture Inc Current Accepting new patients
A&S Family Acupuncture Clinic Acupuncturist Past Accepting new patients

Locations

57 Long Beach Blvd
Long Beach, CA 90802
Phone (562) 436-8881

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1134465255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201793",
            "telephone_number": "213-487-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201793",
            "telephone_number": "213-487-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "KAY",
        "credential": "L.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7627",
            "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 Dec 17, 2012; 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.