Individual provider Active NPI

Sung Sook Seo, LAC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1356596613
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9048 Issued in CA
Practice address
1134 S Western Ave Ste B2
Los Angeles, CA 90006-2347
Phone
(323) 735-1030
NPI assigned
Nov 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9048 CA Primary

Addresses

Primary practice location

1134 S Western Ave Ste B2
Los Angeles, CA 90006-2347

Mailing address

1134 S Western Ave Ste B2
Los Angeles, CA 90006-2347
Phone (323) 735-1030

Other identifiers 1

IdentifierTypeStateIssuer
201901529MedicaidCA

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

LicenseStateTypeSpecialty
AC9048CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Group Acupuncturist CurrentSince Apr 23, 2023 Accepting new patients

Locations

210 S Palisade Dr
Ste 205
Santa Maria, CA 93454
Phone (805) 728-1003

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.

NPI Registry JSON

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227830400000",
    "number": "1356596613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 S WESTERN AVE STE B2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062347",
            "telephone_number": "323-735-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 S WESTERN AVE STE B2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062347",
            "telephone_number": "323-735-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "SUNG SOOK",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-28",
        "last_updated": "2008-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201901529",
            "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 Nov 28, 2008; 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.