Active NPI
Sang Hyeuk Kwon, ACUPUNCTURIST
- Acupuncturist
- Cypress, CA
National Provider Identifier
1164996203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18392
- 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
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 | 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.