Individual provider Active NPI

Joonghwa Ji

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1407056021
Registry record updated Aug 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30529 Issued in CA
Practice address
3545 Wilshire Blvd Ste 210
Los Angeles, CA 90010-2388
Phone
(323) 388-8820
NPI assigned
Jul 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30529 CA Primary

Addresses

Primary practice location

3545 Wilshire Blvd Ste 210
Los Angeles, CA 90010-2388

Mailing address

3545 Wilshire Blvd Ste 210
Los Angeles, CA 90010-2388
Phone (323) 388-8820

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

NPI Registry JSON

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250985600000",
    "number": "1407056021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 WILSHIRE BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102388",
            "telephone_number": "323-388-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 WILSHIRE BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102388",
            "telephone_number": "323-388-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "JOONGHWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-21",
        "last_updated": "2009-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30529",
            "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 Aug 23, 2009; 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.