Active NPI
Youn Jung Shin, L.AC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1548402035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12368
- Practice address
- 2300 W Olympic Blvd Ste 218
Los Angeles, CA 90006-2089 - Phone
- (213) 726-7812
- Fax
- (213) 221-3713
- NPI assigned
- Mar 30, 2009
- Last updated
- Mar 28, 2023
- Sex
- Female
- 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 | AC12368 | CA | Primary |
Addresses
Primary practice location
2300 W Olympic Blvd Ste 218
Los Angeles, CA 90006-2089
Mailing address
2300 W Olympic Blvd Ste 218
Los Angeles, CA 90006-2089
Phone (213) 726-7812
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 |
|---|---|---|---|
| AC12368 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia MSC Kim Chiropractic, Inc. | Acupuncturist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1548402035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W OLYMPIC BLVD STE 218",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062089",
"telephone_number": "213-726-7812",
"fax_number": "213-221-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W OLYMPIC BLVD STE 218",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062089",
"telephone_number": "213-726-7812",
"fax_number": "213-221-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "YOUN",
"middle_name": "JUNG",
"name_prefix": "Dr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-30",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12368",
"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 Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.