Individual provider Active NPI

Brian Sanghwa Lee, L.AC, PH.D.

  • Acupuncturist
  • Irvine, CA
National Provider Identifier
1184684417
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8718 Issued in CA
Practice address
15785 Laguna Canyon Rd Ste 330
Irvine, CA 92618-3178
Phone
(949) 424-6430
Fax
(949) 612-0010
NPI assigned
Mar 23, 2006
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8718 CA Primary

Addresses

Primary practice location

15785 Laguna Canyon Rd Ste 330
Irvine, CA 92618-3178

Mailing address

15785 Laguna Canyon Rd Ste 330
Irvine, CA 92618-3178
Phone (949) 424-6430

Other practice location 1

150 Laguna Rd Ste A
Fullerton, CA 92835-3615
Phone (949) 424-6430

Other identifiers 1

IdentifierTypeStateIssuer
9703241MedicaidCA

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC8718CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Acupuncture Clinic Acupuncturist Current Accepting new patients

Locations

150 Laguna Rd
Ste A
Fullerton, CA 92835
Phone (714) 525-8822

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1184684417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD STE 330",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183178",
            "telephone_number": "949-424-6430",
            "fax_number": "949-612-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD STE 330",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183178",
            "telephone_number": "949-424-6430",
            "fax_number": "949-612-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Laguna Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353615",
            "country_code": "US",
            "telephone_number": "949-424-6430",
            "fax_number": "949-612-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIAN",
        "middle_name": "SANGHWA",
        "name_prefix": "Dr.",
        "credential": "L.AC, PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9703241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.