Individual provider Active NPI

Cheong Soo Han, AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1366731424
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13940 Issued in CA
Practice address
680 Wilshire PL
312
Los Angeles, CA 90005-3931
Phone
(213) 386-2345
Fax
(213) 386-2347
NPI assigned
Mar 29, 2011
Last updated
Dec 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC13940 CA Primary

Addresses

Primary practice location

680 Wilshire PL
312
Los Angeles, CA 90005-3931

Mailing address

680 Wilshire PL
312
Los Angeles, CA 90005-3931
Phone (213) 386-2345

Other identifiers 1

IdentifierTypeStateIssuer
AC13940OtherCALICENSE

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
AC13940CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Q Bio Acupuncture Clinic Inc. Acupuncturist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1366731424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 WILSHIRE PL",
            "address_2": "312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053931",
            "telephone_number": "213-386-2345",
            "fax_number": "213-386-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 WILSHIRE PL",
            "address_2": "312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053931",
            "telephone_number": "213-386-2345",
            "fax_number": "213-386-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "CHEONG",
        "middle_name": "SOO",
        "credential": "AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AC13940",
            "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 Dec 6, 2011; 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.