Individual provider Active NPI

Yoocheol Lee, LAC

  • Acupuncturist
  • Agoura Hills, CA
National Provider Identifier
1386859734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11118 Issued in CA
Practice address
30313 Canwood St
Suite 23
Agoura Hills, CA 91301-4326
Phone
(818) 889-8988
NPI assigned
May 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11118 CA Primary

Addresses

Primary practice location

30313 Canwood St
Suite 23
Agoura Hills, CA 91301-4326

Mailing address

30313 Canwood St
Suite 23
Agoura Hills, CA 91301-4326
Phone (818) 889-8988

Other names 1

  • Dr. Yoocheol Lee Professional name

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
AC11118CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386859734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST",
            "address_2": "SUITE 23",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014326",
            "telephone_number": "818-889-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST",
            "address_2": "SUITE 23",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014326",
            "telephone_number": "818-889-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOOCHEOL",
        "name_prefix": "Dr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOOCHEOL",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Agoura Hills, 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.

Verify at the official NPI Registry.