Individual provider Active NPI

Chong In Lee, AC

  • Acupuncturist
  • Torrance, CA
National Provider Identifier
1417020256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11108 Issued in CA
Practice address
3537 Torrance Blvd
Suite #24 25
Torrance, CA 90503-4818
Phone
(310) 540-6724
Fax
(310) 540-6719
NPI assigned
Nov 17, 2006
Sex
Female
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 AC11108 CA Primary

Addresses

Primary practice location

3537 Torrance Blvd
Suite #24 25
Torrance, CA 90503-4818

Mailing address

3537 Torrance Blvd
Suite #24 25
Torrance, CA 90503-4818
Phone (310) 540-6724

Other names 1

  • Chong In Song Former 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
AC11108CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417020256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 TORRANCE BLVD",
            "address_2": "SUITE #24 25",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034818",
            "telephone_number": "310-540-6724",
            "fax_number": "310-540-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 TORRANCE BLVD",
            "address_2": "SUITE #24 25",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034818",
            "telephone_number": "310-540-6724",
            "fax_number": "310-540-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHONG",
        "middle_name": "IN",
        "credential": "AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHONG",
            "last_name": "SONG",
            "middle_name": "IN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, 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.