Active NPI
Byung Chan Song, ACUPUNCTURIST
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1255484499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- LAC 2808
- Practice address
- 3130 W. Olympic BL. #440
#440
Los Angeles, CA 90006-2494 - Phone
- (323) 730-8080
- Fax
- (323) 732-8342
- NPI assigned
- Jan 19, 2007
- 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 | LAC 2808 | CA | Primary |
Addresses
Primary practice location
3130 W. Olympic BL. #440
#440
Los Angeles, CA 90006-2494
Mailing address
3130 W. Olympic BL. #440
#440
Los Angeles, CA 90006-2494
Phone (323) 730-8080
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 |
|---|---|---|---|
| LAC 2808 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1255484499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 W. OLYMPIC BL. #440",
"address_2": "#440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062494",
"telephone_number": "323-730-8080",
"fax_number": "323-732-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 W. OLYMPIC BL. #440",
"address_2": "#440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062494",
"telephone_number": "323-730-8080",
"fax_number": "323-732-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "BYUNG",
"middle_name": "CHAN",
"name_prefix": "Mr.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "LAC 2808",
"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 Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.