Active NPI
Dae Hyeon Lee
- Acupuncturist
- Santa Monica, CA
National Provider Identifier
1386226322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18113
- Practice address
- 1214 23Rd St
Santa Monica, CA 90404-1345 - Phone
- (213) 712-4643
- NPI assigned
- Apr 27, 2021
- 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 | 18113 | CA | Primary |
Addresses
Primary practice location
1214 23Rd St
Santa Monica, CA 90404-1345
Mailing address
1214 23Rd St
Santa Monica, CA 90404-1345
Phone (213) 712-4643
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 |
|---|---|---|---|
| 18113 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622937600000",
"number": "1386226322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 23RD ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041345",
"telephone_number": "213-712-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 23RD ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041345",
"telephone_number": "213-712-4643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DAE HYEON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-27",
"last_updated": "2021-06-06",
"certification_date": "2021-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "18113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.