Stephan Yongseok Seo, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC0060660 Issued in CA

Practice address

4972 W Pico Blvd # 204a
Los Angeles, CA 90019

Phone

(323) 591-0157

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Young Seok Seo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1356555254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 W PICO BLVD # 204A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194200",
            "telephone_number": "323-591-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 W PICO BLVD # 204A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90019",
            "telephone_number": "323-591-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W Olympic Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900062316",
            "country_code": "US",
            "telephone_number": "323-737-1211",
            "fax_number": "323-737-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEO",
        "first_name": "STEPHAN",
        "middle_name": "YONGSEOK",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC0060660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNG SEOK",
            "last_name": "SEO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jungsik Seo
• Kayoung Seo, AGACNP-BC
• Nayoung Seo
• Sangyeon Seo
• Sarah Seo
• Suk Seo, MD
• Sung Sook Seo, LAC
• Un Kyo Seo, L.AC.
• Woo Keuk Seo, L.AC
• Young Ji Seo

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.