Active NPI
Young Ok Mahoney
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1154631448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13608
- Practice address
- 432 S San Vicente Blvd
#250
Los Angeles, CA 90048-4183 - Phone
- (213) 703-0552
- NPI assigned
- Oct 20, 2010
- 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 | 13608 | CA | Primary |
Addresses
Primary practice location
432 S San Vicente Blvd
#250
Los Angeles, CA 90048-4183
Mailing address
432 S Manhattan PL
Apt #14
Los Angeles, CA 90020-4159
Phone (213) 703-0552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC 13608 | Other | CA | ACUPUNCTURE LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1154631448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 S MANHATTAN PL",
"address_2": "APT #14",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900204159",
"telephone_number": "213-703-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 S SAN VICENTE BLVD",
"address_2": "#250",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484183",
"telephone_number": "213-703-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "YOUNG OK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE",
"identifier": "AC 13608",
"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 Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.