Individual provider Active NPI

Christine Jinkyoung An, D.C.

  • Independent Medical Examiner Chiropractor
  • Los Angeles, CA
National Provider Identifier
1497060503
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
23729 Issued in CA
Practice address
955 S. Western Ave.
#203
Los Angeles, CA 90006
Phone
(323) 735-2225
Fax
(323) 735-1194
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 23729 CA Primary

Addresses

Primary practice location

955 S. Western Ave.
#203
Los Angeles, CA 90006

Mailing address

955 S Western Ave
#203
Los Angeles, CA 90006-1006
Phone (323) 735-2225

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
23729CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1497060503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S WESTERN AVE",
            "address_2": "#203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061006",
            "telephone_number": "323-735-2225",
            "fax_number": "323-735-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S. WESTERN AVE.",
            "address_2": "#203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90006",
            "telephone_number": "323-735-2225",
            "fax_number": "323-735-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "CHRISTINE",
        "middle_name": "JINKYOUNG",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "23729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.