Individual provider Active NPI

Jason Donghyuk Noh, LAC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1396385266
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17634 Issued in CA
Practice address
3003 W Olympic Blvd Ste 201
Los Angeles, CA 90006-6511
Phone
(213) 700-2242
NPI assigned
Jan 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 17634 CA Primary

Addresses

Primary practice location

3003 W Olympic Blvd Ste 201
Los Angeles, CA 90006-6511

Mailing address

505 S la Fayette Park PL Apt 411
Los Angeles, CA 90057-1650
Phone (213) 700-2242

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
17634CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
U.S. Wildlife & Natural Food Inc Acupuncturist CurrentSince Jan 19, 2020 Accepting new patients

Locations

3003 W Olympic Blvd
Ste 201
Los Angeles, CA 90006
Phone (213) 425-1924

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1396385266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S LA FAYETTE PARK PL APT 411",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571650",
            "telephone_number": "213-700-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W OLYMPIC BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066511",
            "telephone_number": "213-700-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOH",
        "first_name": "JASON",
        "middle_name": "DONGHYUK",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.