Active NPI
Dal S Seo, L.AC.
- Acupuncturist
- Fullerton, CA
National Provider Identifier
1477067221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC15525
- Practice address
- 715 S Euclid St
Fullerton, CA 92832-2611 - Phone
- (714) 213-8426
- NPI assigned
- Nov 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | AC15525 | CA | Primary |
Addresses
Primary practice location
715 S Euclid St
Fullerton, CA 92832-2611
Mailing address
715 S Euclid St
Fullerton, CA 92832-2611
Phone (714) 213-8426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC15525 | Other | CA | ACUPUNCTURE |
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 |
|---|---|---|---|
| AC15525 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1477067221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 S EUCLID ST",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322611",
"telephone_number": "714-213-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S EUCLID ST",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322611",
"telephone_number": "714-213-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "DAL",
"middle_name": "S",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-30",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC15525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "AC15525",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.