Jin Wook Ko, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14589 Issued in CA

Practice address

440 Shatto PL #419
Los Angeles, CA 90020-1793

Phone

(213) 382-2030

Fax

(877) 234-2675

NPI assigned

Jun 15, 2012

Last updated

Jun 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1174885057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL #419",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201793",
            "telephone_number": "213-382-2030",
            "fax_number": "877-234-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL #419",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201793",
            "telephone_number": "213-382-2030",
            "fax_number": "877-234-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "JIN WOOK",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC14589",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Ko
• Jamie Ko
• Je Deuk Ko, M.D. PH.D.
• Jeffrey Kuan-Yu Ko, LCSW
• Jennifer Ko
• Joan Soyoung Ko, M.D.
• Joyce Ko
• Julianna Ko
• Ki Wan Ko, L.AC
• Kyungmin Christine Ko

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.