Active NPI
Sangwook Lee, D.C.
- Acupuncturist
- Winnetka, CA
National Provider Identifier
1376016949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18952
- Practice address
- 20061 Saticoy St Ste 101
Winnetka, CA 91306-2692 - Phone
- (747) 206-5288
- NPI assigned
- Jan 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 18952 | CA | Primary |
| Chiropractor | 111N00000X | 34384 | CA |
Addresses
Primary practice location
20061 Saticoy St Ste 101
Winnetka, CA 91306-2692
Mailing address
20061 Saticoy St Ste 101
Winnetka, CA 91306-2692
Phone (747) 206-5288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Lees Family Chiropractic & Acupuncture Apc | Chiropractor | Current | Accepting new patients |
| Dr. Lee'S Family Chiropractic | Acupuncturist | Current | Accepting new patients |
Locations
20061 Saticoy St
Ste 101
Winnetka, CA 91306
Phone (747) 206-5288
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Chiropractor
- Winnetka, CA
- NPI 1780203422
-
- Acupuncturist
- Winnetka, CA
- NPI 1376127423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1376016949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20061 SATICOY ST STE 101",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913062692",
"telephone_number": "747-206-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20061 SATICOY ST STE 101",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913062692",
"telephone_number": "747-206-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SANGWOOK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "18952",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34384",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winnetka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.