Active NPI
Jongmoo Lee, L.AC
- Acupuncturist
- Garden Grove, CA
National Provider Identifier
1295045078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 13616
- Practice address
- 9872 Chapman Ave Ste 114
Garden Grove, CA 92841-2718 - Phone
- (714) 591-5956
- Fax
- (714) 676-1697
- NPI assigned
- Oct 14, 2010
- 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 | AC 13616 | CA | Primary |
Addresses
Primary practice location
9872 Chapman Ave Ste 114
Garden Grove, CA 92841-2718
Mailing address
9872 Chapman Ave Ste 114
Garden Grove, CA 92841-2718
Phone (714) 591-5956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC 13616 | Other | CA | ACUPUNCTURE BOARD |
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 |
|---|---|---|---|
| AC 13616 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Pain Care Center 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.
-
- Acupuncturist
- Garden Grove, CA
- NPI 1366898132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1295045078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9872 CHAPMAN AVE STE 114",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412718",
"telephone_number": "714-591-5956",
"fax_number": "714-676-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9872 CHAPMAN AVE STE 114",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412718",
"telephone_number": "714-591-5956",
"fax_number": "714-676-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JONGMOO",
"name_prefix": "Mr.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-14",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 13616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE BOARD",
"identifier": "AC 13616",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.