Individual provider Active NPI

Kyoung-Hee Lee, L.AC

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1487831426
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11678 Issued in CA
Practice address
9732 Garden Grove Blvd Ste 1
Garden Grove, CA 92844-1624
Phone
(714) 539-1665
Fax
(714) 539-1666
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11678 CA Primary

Addresses

Primary practice location

9732 Garden Grove Blvd Ste 1
Garden Grove, CA 92844-1624

Mailing address

9732 Garden Grove Blvd #1
Garden Grove, CA 92844-1624
Phone (714) 539-1665

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
11678CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1487831426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 GARDEN GROVE BLVD #1",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441624",
            "telephone_number": "714-539-1665",
            "fax_number": "714-539-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 GARDEN GROVE BLVD STE 1",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441624",
            "telephone_number": "714-539-1665",
            "fax_number": "714-539-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYOUNG-HEE",
        "name_prefix": "Dr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.