Individual provider Active NPI

Kyunghye Kim Lee

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1548078413
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC20243 Issued in CA
Practice address
908 S Ardmore Ave Unit 305
Los Angeles, CA 90006-1492
Phone
(213) 628-6127
NPI assigned
Dec 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC20243 CA Primary

Addresses

Primary practice location

908 S Ardmore Ave Unit 305
Los Angeles, CA 90006-1492

Mailing address

908 S Ardmore Ave Unit 305
Los Angeles, CA 90006-1492
Phone (213) 628-6127

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
AC20243CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Oyat Lee Acupuncture Clinic, Apc Acupuncturist CurrentSince Feb 23, 2025 Accepting new patients

Locations

3544 W Olympic Blvd
Ste 101
Los Angeles, CA 90019
Phone (213) 628-6127

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": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1548078413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S ARDMORE AVE UNIT 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061492",
            "telephone_number": "213-628-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 S ARDMORE AVE UNIT 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061492",
            "telephone_number": "213-628-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYUNGHYE",
        "middle_name": "KIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-24",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC20243",
            "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 Jan 22, 2025; 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.