Individual provider Active NPI

Wooyoung Jung, LAC

  • Acupuncturist
  • Glendora, CA
National Provider Identifier
1386338861
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19746 Issued in CA
Practice address
242 S Glendora Ave
Glendora, CA 91741-3418
Phone
(626) 335-1918
NPI assigned
Jun 7, 2023
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19746 CA Primary

Addresses

Primary practice location

242 S Glendora Ave
Glendora, CA 91741-3418

Mailing address

884 Pear CT
Upland, CA 91786-8457
Phone (909) 727-1082

Other practice location 1

1228 15th St Ste E
Santa Monica, CA 90404-1114
Phone (310) 393-3868

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
19746CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Arisu Acupuncture Clinic, Inc. Acupuncturist CurrentSince Jun 11, 2023 Accepting new patients

Locations

242 S Glendora Ave
Glendora, CA 91741
Phone (626) 335-1918

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1386338861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 PEAR CT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868457",
            "telephone_number": "909-727-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 S GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413418",
            "telephone_number": "626-335-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1228 15th St Ste E",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041114",
            "country_code": "US",
            "telephone_number": "310-393-3868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "WOOYOUNG",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.