Active NPI
Young Gil Jang, LAC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1538325808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4573
- Practice address
- 1133 S Vermont Ave Ste 22
Los Angeles, CA 90006-2764 - Phone
- (213) 738-1033
- Fax
- (213) 738-7186
- NPI assigned
- Aug 5, 2008
- 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 | AC4573 | CA | Primary |
Addresses
Primary practice location
1133 S Vermont Ave Ste 22
Los Angeles, CA 90006-2764
Mailing address
1133 S. Vermont Ave. Suite # 22
Los Angeles, CALIFORNIA 90006-2764
UM
Phone (213) 738-1033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC4573 | Other | CA | CALIFORNIA STATE LICENSE |
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 |
|---|---|---|---|
| AC4573 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1538325808",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1133 S. VERMONT AVE. SUITE # 22",
"city": "LOS ANGELES",
"state": "CALIFORNIA",
"postal_code": "900062764",
"telephone_number": "213-738-1033",
"fax_number": "213-738-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 S VERMONT AVE STE 22",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062764",
"telephone_number": "213-738-1033",
"fax_number": "213-738-7186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "YOUNG",
"middle_name": "GIL",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LICENSE",
"identifier": "AC4573",
"state": "CA"
}
],
"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 5, 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.