Individual provider Active NPI

Seunghun Lee, L.AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1215380597
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 14307 Issued in CA
Practice address
3434 W 6TH St Ste 400-3
Los Angeles, CA 90020-2526
Phone
(213) 434-1389
NPI assigned
Jul 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC14307 CA
Acupuncturist 171100000X AC 14307 CA Primary

Addresses

Primary practice location

3434 W 6TH St Ste 400-3
Los Angeles, CA 90020-2526

Mailing address

19144 Index St Unit 4
Porter Ranch, CA 91326-1619
Phone (213) 434-1389

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
AC 14307CAMDAcupuncturist
AC14307CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Youhl Alternative Medical Corporation Acupuncturist CurrentSince Aug 6, 2023 Accepting new patients
Lake County Tribal Health Consortium, Inc. Past Accepting new patients
Lake County Tribal Health Consortium Inc. Past Accepting new patients

Locations

3434 W 6th St
Ste 400-3
Los Angeles, CA 90020
Phone (213) 434-1389

Interoperability endpoints

  • Direct secure messaging: seunghun.lee.p1@direct.lcthc.nextgenshare.com

Organizations & group practices 3

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1215380597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19144 INDEX ST UNIT 4",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261619",
            "telephone_number": "213-434-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W 6TH ST STE 400-3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202526",
            "telephone_number": "213-434-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNGHUN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14307",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 14307",
            "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 Aug 8, 2023; 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.