Active NPI
Youngming Roc Doo, L. AC.
- Acupuncturist
- Gardena, CA
National Provider Identifier
1376622209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 3792
- Practice address
- 1045 West Redondo Beach Boulevard
Suite 575
Gardena, CA 90247 - Phone
- (310) 523-2700
- NPI assigned
- Nov 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 3792 | CA | Primary |
Addresses
Primary practice location
1045 West Redondo Beach Boulevard
Suite 575
Gardena, CA 90247
Mailing address
1045 W Redondo Beach Blvd
Suite 575
Gardena, CA 90247-4128
Phone (310) 523-2700
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 3792 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376622209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 W REDONDO BEACH BLVD",
"address_2": "SUITE 575",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474128",
"telephone_number": "310-523-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 WEST REDONDO BEACH BOULEVARD",
"address_2": "SUITE 575",
"city": "GARDENA",
"state": "CA",
"postal_code": "90247",
"telephone_number": "310-523-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOO",
"first_name": "YOUNGMING",
"middle_name": "ROC",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 3792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, 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.