Individual provider Active NPI

Sea Jin Lee, L.AC.

  • Acupuncturist
  • Glendale, CA
National Provider Identifier
1174822126
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 8674 Issued in CA
Practice address
541 W Colorado St Ste 303
Glendale, CA 91204-3641
Phone
(818) 545-7222
Fax
(818) 545-9986
NPI assigned
Mar 16, 2011
Last updated
Mar 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 8674 CA Primary

Addresses

Primary practice location

541 W Colorado St Ste 303
Glendale, CA 91204-3641

Mailing address

541 W.Colorado St #303
Glendale, CA 91204-3646
Phone (818) 545-7222

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

LicenseStateTypeSpecialty
AC 8674CAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1174822126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W.COLORADO ST #303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043646",
            "telephone_number": "818-545-7222",
            "fax_number": "818-545-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W COLORADO ST STE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043641",
            "telephone_number": "818-545-7222",
            "fax_number": "818-545-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEA JIN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 8674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.