Suk Kyeng Weon, LIC.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LIC.AC9945 Issued in CA

Practice address

23331 El Toro Rd
Suite 206
Lake Forest, CA 92630-4891

Phone

(949) 241-1172

Fax

(949) 305-4493

NPI assigned

May 27, 2010

Sex

Female

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

• Grace Weon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1376862557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23331 EL TORO RD",
            "address_2": "SUITE 206",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304891",
            "telephone_number": "949-241-1172",
            "fax_number": "949-305-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23331 EL TORO RD",
            "address_2": "SUITE 206",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304891",
            "telephone_number": "949-241-1172",
            "fax_number": "949-305-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEON",
        "first_name": "SUK KYENG",
        "credential": "LIC.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "LIC.AC9945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "WEON",
            "credential": "LIC.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acupuncturist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.