Active NPI
Son Kang
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1154731677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC13719
- Practice address
- 3053 W Olympic Blvd Ste 305
Los Angeles, CA 90006-2558 - Phone
- (213) 216-5093
- NPI assigned
- May 6, 2014
- Sex
- Male
- 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 | AC13719 | CA | Primary |
Addresses
Primary practice location
3053 W Olympic Blvd Ste 305
Los Angeles, CA 90006-2558
Mailing address
12518 221St St
Hawaiian Gardens, CA 90716-1706
Phone (213) 216-5093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC13719 | Other | CA | LICENSE NUMBER |
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 |
|---|---|---|---|
| AC13719 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645228800000",
"number": "1154731677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12518 221ST ST",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907161706",
"telephone_number": "213-216-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3053 W OLYMPIC BLVD STE 305",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062558",
"telephone_number": "213-216-5093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "SON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2022-02-19",
"certification_date": "2022-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "AC13719",
"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 Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.