Dae Il Won, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

CA15920 Issued in CA

Practice address

3053 W Olympic Blvd Ste 301
Los Angeles, CA 90006-2558

Phone

(213) 483-6688

Fax

(213) 483-6636

NPI assigned

May 12, 2015

Last updated

Sep 16, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Won Moxibustion & Acupuncture Clinic Inc

  dba Won Acu Clinic

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1659938041
  NPD Authorized official

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1184002982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-483-6688",
            "fax_number": "213-483-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-483-6688",
            "fax_number": "213-483-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WON",
        "first_name": "DAE IL",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA15920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Won Acupuncture Clinic, Inc. (Jayeon Damun Acupuncture Clinic)
• Won Jung Jeong,DDS,Inc.
• Won Moxibustion & Acupuncture Clinic Inc (Won Acu Clinic)
• Won R. Yoon M.D. & Soo Y. Song-Yoon M.D. Inc.
• Chong Man Won, MD
• Eugene Won, M.D.
• Jonghoun Won, D.O.M.,L.AC.
• Justin Won
• Lucy Yusun Won, D.O.
• Young Sook Won, PHARM.D.

• 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 Sep 16, 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.