Yi Jin Jin Jung, L.AC.
Individual provider Active NPI Acupuncturist · Bakersfield, CA
NPI 1386969202 · NPPES record last updated Jun 20, 2018
Key facts
- NPI
- 1386969202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 13318 (CA)
- Practice address
- 2920 F. St.
Suite F 11
Bakersfield, CA 93301 - Phone
- (661) 434-3415
- Fax
- (888) 498-7692
- NPI assigned
- Apr 3, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apricot Grove Acupuncture | Acupuncturist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 13318 | CA | Yes |
Addresses
Primary practice location
2920 F. St.
Suite F 11
Bakersfield, CA 93301
Mailing address
2920 F St.
Suite F 11
Bakersfield, CA 93301
Phone (661) 434-3415
NPI Registry JSON
{
"created_epoch": "1270252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1386969202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 F ST.",
"address_2": "SUITE F 11",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93301",
"telephone_number": "661-434-3415",
"fax_number": "888-498-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 F. ST.",
"address_2": "SUITE F 11",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93301",
"telephone_number": "661-434-3415",
"fax_number": "888-498-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "YI JIN",
"middle_name": "JIN",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-03",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.