Active NPI
Chong In Lee, AC
- Acupuncturist
- Torrance, CA
National Provider Identifier
1417020256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC11108 | CA | MD | Acupuncturist |
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.