Active NPI
Duck Soo Yoo, LAC
- Acupuncturist
- Sun Valley, CA
National Provider Identifier
1154874071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 9904
- Practice address
- 7200 Vineland Ave Unit 216
Sun Valley, CA 91352-5088 - Phone
- (213) 219-0763
- NPI assigned
- Jul 27, 2016
- 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 | AC 9904 | CA | Primary |
Addresses
Primary practice location
7200 Vineland Ave Unit 216
Sun Valley, CA 91352-5088
Mailing address
446 Riverdale Dr Apt 4
Glendale, CA 91204-1555
Phone (213) 219-0763
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 |
|---|---|---|---|
| AC 9904 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1154874071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 RIVERDALE DR APT 4",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041555",
"telephone_number": "213-219-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 VINELAND AVE UNIT 216",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913525088",
"telephone_number": "213-219-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "DUCK",
"middle_name": "SOO",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 9904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.