Individual provider Active NPI

Jung Woo Joo, L.AC

  • Acupuncturist
  • Downey, CA
National Provider Identifier
1447497185
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11016 Issued in CA
Practice address
8847 Imperial Hwy
C-1
Downey, CA 90242-3958
Phone
(562) 861-1177
Fax
(562) 861-1199
NPI assigned
Jan 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11016 CA Primary

Addresses

Primary practice location

8847 Imperial Hwy
C-1
Downey, CA 90242-3958

Mailing address

8847 Imperial Hwy
C-1
Downey, CA 90242-3958
Phone (562) 861-1177

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
AC11016CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Joo Acupuncture,Inc Past Accepting new patients

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1447497185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 IMPERIAL HWY",
            "address_2": "C-1",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423958",
            "telephone_number": "562-861-1177",
            "fax_number": "562-861-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8847 IMPERIAL HWY",
            "address_2": "C-1",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423958",
            "telephone_number": "562-861-1177",
            "fax_number": "562-861-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "JUNG",
        "middle_name": "WOO",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.