Individual provider Active NPI

Seon Mi Yoon, L. AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1265910335
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18206 Issued in CA
Practice address
11901 Santa Monica Blvd Ste 209
Los Angeles, CA 90025-2783
Phone
(424) 317-0014
Fax
(424) 317-0917
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18206 CA Primary

Addresses

Primary practice location

11901 Santa Monica Blvd Ste 209
Los Angeles, CA 90025-2783

Mailing address

11901 Santa Monica Blvd Ste 209
Los Angeles, CA 90025-2783
Phone (424) 317-0014

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
18206CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nature Acupuncture Professional Corporation Acupuncturist CurrentSince Apr 9, 2023 Accepting new patients
Yn Healthcare LLC Acupuncturist CurrentSince Aug 1, 2022 Accepting new patients

Locations

11633 Hawthorne Blvd
Ste 402
Hawthorne, CA 90250
Phone (424) 317-0014

11901 Santa Monica Blvd
Ste 209
Los Angeles, CA 90025
Phone (424) 317-0014

11111 W Olympic Blvd
Ste 212
Los Angeles, CA 90064

3680 E Imperial Hwy
Ste 460
Lynwood, CA 90262
Phone (310) 635-5857

Organizations & group practices 2

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1265910335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252783",
            "telephone_number": "424-317-0014",
            "fax_number": "424-317-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252783",
            "telephone_number": "424-317-0014",
            "fax_number": "424-317-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "SEON MI",
        "credential": "L. AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18206",
            "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 Apr 7, 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.