Individual provider Active NPI

Kyung Ok Choi Deweese

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1134998974
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
A19863 Issued in CA
Practice address
401 S Hoover St Apt 301
Los Angeles, CA 90020-1215
Phone
(323) 447-0202
NPI assigned
Dec 21, 2023
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X A19863 CA Primary

Addresses

Primary practice location

401 S Hoover St Apt 301
Los Angeles, CA 90020-1215

Mailing address

401 S Hoover St Apt 301
Los Angeles, CA 90020-1215
Phone (323) 447-0202

Other practice location 1

401 S Hoover St Apt 301
Los Angeles, CA 90020-1215
Phone (323) 447-0202

Other practice location 2

401 S Hoover St Apt 301
Los Angeles, CA 90020-1215
Phone (323) 447-0202

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
A19863CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1134998974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S HOOVER ST APT 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201215",
            "telephone_number": "323-447-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S HOOVER ST APT 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201215",
            "telephone_number": "323-447-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Hoover St Apt 301",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900201215",
            "country_code": "US",
            "telephone_number": "323-447-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Hoover St Apt 301",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900201215",
            "country_code": "US",
            "telephone_number": "323-447-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWEESE",
        "first_name": "KYUNG OK",
        "middle_name": "CHOI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "A19863",
            "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 21, 2023; 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.