Active NPI
Hyodong Jeong
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1295938884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11033
- Practice address
- 2987 W. Olympic Blvd.
#202
Los Angeles, CA 90006 - Phone
- (213) 257-6542
- NPI assigned
- Jun 9, 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 | AC11033 | CA | Primary |
Addresses
Primary practice location
2987 W. Olympic Blvd.
#202
Los Angeles, CA 90006
Mailing address
345 S Alexandria Ave.
#416
Los Angeles, CA 90020
Phone (310) 303-9707
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC11033 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1295938884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 S ALEXANDRIA AVE.",
"address_2": "#416",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90020",
"telephone_number": "310-303-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2987 W. OLYMPIC BLVD.",
"address_2": "#202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-257-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEONG",
"first_name": "HYODONG",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11033",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.