Individual provider Active NPI

Rita Joungsook Lee I

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1316064751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5014 Issued in CA
Practice address
4041 Wilshire Blvd
#102A
Los Angeles, CA 90010-3408
Phone
(213) 365-9755
Fax
(213) 365-9755
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5014 CA Primary

Addresses

Primary practice location

4041 Wilshire Blvd
#102A
Los Angeles, CA 90010-3408

Mailing address

3808 S Bronson Ave
#2
Los Angeles, CA 90008-1948

Other identifiers 1

IdentifierTypeStateIssuer
5014OtherCAACUPUNCYURE

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316064751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 S BRONSON AVE",
            "address_2": "#2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 WILSHIRE BLVD",
            "address_2": "#102A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103408",
            "telephone_number": "213-365-9755",
            "fax_number": "213-365-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RITA",
        "middle_name": "JOUNGSOOK",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCYURE",
            "identifier": "5014",
            "state": "CA"
        }
    ],
    "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 8, 2007; 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.