Active NPI
Sang Y Lee, L.AC. PH.D.
- Acupuncturist
- Anaheim, CA
National Provider Identifier
1306485982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9953
- Practice address
- 3340 W Ball Rd Ste B
Anaheim, CA 92804-3729 - Phone
- (213) 365-8275
- Fax
- (714) 916-5100
- NPI assigned
- Dec 31, 2019
- Last updated
- Jun 22, 2023
- Sex
- Male
- Sole proprietor
- No
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 | AC9953 | CA | Primary |
Addresses
Primary practice location
3340 W Ball Rd Ste B
Anaheim, CA 92804-3729
Mailing address
3340 W Ball Rd Ste B
Anaheim, CA 92804-3729
Phone (213) 365-8275
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC9953 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White & Blue Wellness Inc. | Acupuncturist | Current | Accepting new patients |
Locations
3340 W Ball Rd
Ste B
Anaheim, CA 92804
Phone (213) 365-8275
1701 W Whittier Blvd
Montebello, CA 90640
Phone 2134839902512
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Anaheim, CA
- NPI 1760118459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1306485982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 W BALL RD STE B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043729",
"telephone_number": "213-365-8275",
"fax_number": "714-916-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 W BALL RD STE B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043729",
"telephone_number": "213-365-8275",
"fax_number": "714-916-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SANG",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "L.AC. PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-31",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.