Individual provider Active NPI

Sang Hyeuk Kwon, ACUPUNCTURIST

  • Acupuncturist
  • Cypress, CA
National Provider Identifier
1164996203
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18392 Issued in CA
Practice address
4695 Larwin Ave
Cypress, CA 90630-3510
Phone
(201) 879-4345
NPI assigned
Jan 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18392 CA Primary

Addresses

Primary practice location

4695 Larwin Ave
Cypress, CA 90630-3510

Mailing address

7980 Orangethorpe Ave
Buena Park, CA 90621-3437
Phone (201) 879-4345

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1164996203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213437",
            "telephone_number": "201-879-4345",
            "fax_number": "714-736-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 LARWIN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303510",
            "telephone_number": "201-879-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "SANG HYEUK",
        "name_prefix": "Mr.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.