Active NPI
Won Zoe Shin
- Acupuncturist
- North Hollywood, CA
National Provider Identifier
1235670480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17269
- Practice address
- 4713 Lankershim Blvd
North Hollywood, CA 91602-1803 - Phone
- (626) 437-9067
- NPI assigned
- Mar 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 17269 | CA | Primary |
Addresses
Primary practice location
4713 Lankershim Blvd
North Hollywood, CA 91602-1803
Mailing address
1699 Amberwood Dr Apt 212
South Pasadena, CA 91030-1918
Phone (626) 437-9067
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 |
|---|---|---|---|
| 17269 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Han Acu & Herbs, Inc | Acupuncturist | 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.
-
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- Yucaipa, CA
- NPI 1578129961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1235670480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1699 AMBERWOOD DR APT 212",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910301918",
"telephone_number": "626-437-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4713 LANKERSHIM BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916021803",
"telephone_number": "626-437-9067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "WON ZOE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.