Active NPI
Eun Ah Lee
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1144362781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 5817
- Practice address
- 1233 N Vermont Ave
Suite #4
Los Angeles, CA 90029-1749 - Phone
- (323) 661-0800
- Fax
- (323) 661-3559
- NPI assigned
- Feb 12, 2007
- Last updated
- Jul 8, 2007
- 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 | 5817 | CA | Primary |
Addresses
Primary practice location
1233 N Vermont Ave
Suite #4
Los Angeles, CA 90029-1749
Mailing address
1233 N Vermont Ave
Suite #4
Los Angeles, CA 90029-1749
Phone (323) 661-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113695455 | Medicaid | CA |
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 |
|---|---|---|---|
| 5817 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144362781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 N VERMONT AVE",
"address_2": "SUITE #4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291749",
"telephone_number": "323-661-0900",
"fax_number": "323-661-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 N VERMONT AVE",
"address_2": "SUITE #4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291749",
"telephone_number": "323-661-0800",
"fax_number": "323-661-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EUN",
"middle_name": "AH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "5817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113695455",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.