Taeyoung Lee, DAOM,PHD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC18869 Issued in CA

Practice address

639 S Commonwealth Ave Apt 306
Los Angeles, CA 90005-4009

Phone

(626) 624-6120

NPI assigned

Jul 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Dr. Lee Pain & Wellness Acupuncture, Inc

  • Acupuncturist
  • Anaheim, CA
  • NPI 1174240063
  NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1235747833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S COMMONWEALTH AVE APT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054009",
            "telephone_number": "626-624-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S COMMONWEALTH AVE APT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054009",
            "telephone_number": "626-624-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TAEYOUNG",
        "credential": "DAOM,PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie K Lee, RN, NP
• Suyoun Lee, NP
• Suzette Lee
• Sylvia Lee
• Sylvia Sang II Lee
• Tai-Wei Lee
• Tattice Lee, BA
• Terra H Lee, RN(REGISTERED NURSE)
• Thomas K. Lee, DDS
• Tiease Lee, LCSW

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.