Individual provider Active NPI

Benjamin Yon Lee, L. AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1194840611
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5822 Issued in CA
Practice address
258 S. Oxford Ave #202
Los Angeles, CA 90004-5172
Phone
(213) 384-8438
Fax
(213) 384-8438
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC5822 CA Primary

Addresses

Primary practice location

258 S. Oxford Ave #202
Los Angeles, CA 90004-5172

Mailing address

258 S. Oxford Ave #202
Los Angeles, CA 90004-5172
Phone (213) 384-8438

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
AC5822CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1194840611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S. OXFORD AVE #202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045172",
            "telephone_number": "213-384-8438",
            "fax_number": "213-384-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 S. OXFORD AVE #202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045172",
            "telephone_number": "213-384-8438",
            "fax_number": "213-384-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BENJAMIN",
        "middle_name": "YON",
        "name_prefix": "Mr.",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5822",
            "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 Sep 10, 2015; 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.