Active NPI
Sehyeong Son
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1184131328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17904
- Practice address
- 1722 Crenshaw Blvd
Los Angeles, CA 90019 - Phone
- (213) 290-8611
- NPI assigned
- Jan 9, 2018
- Sex
- Male
- Sole proprietor
- No
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 | AC17904 | CA | Primary |
Addresses
Primary practice location
1722 Crenshaw Blvd
Los Angeles, CA 90019
Mailing address
1722 Crenshaw Blvd
Los Angeles, CA 90019
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC17904 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1184131328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90019",
"telephone_number": "213-290-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SON",
"first_name": "SEHYEONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-09",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.