Individual provider Active NPI

Kweon Y Yoo, AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1194892646
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6721 Issued in CA
Practice address
3053 W Olympic Blvd Ste 305
Los Angeles, CA 90006-2558
Phone
(213) 251-9911
Fax
(213) 380-3922
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6721 CA Primary

Addresses

Primary practice location

3053 W Olympic Blvd Ste 305
Los Angeles, CA 90006-2558

Mailing address

3053 W Olympic Blvd Ste 305
Los Angeles, CA 90006-2558
Phone (213) 251-9911

Other identifiers 1

IdentifierTypeStateIssuer
AC6721OtherCALICENSE

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
AC6721CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
BMC Acupuncture Corporation Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1194892646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-251-9911",
            "fax_number": "213-380-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-251-9911",
            "fax_number": "213-380-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "KWEON",
        "middle_name": "Y",
        "credential": "AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AC6721",
            "state": "CA"
        }
    ],
    "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 Apr 2, 2009; 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.