Organization Active NPI

Hyunsuk Oh Chiropractic Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1558844191
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HYUNSUK OH CHIROPRACTIC INC
Practice address
3053 W Olympic Blvd Ste 203
Los Angeles, CA 90006-2558
Phone
(213) 384-3830
Fax
(213) 384-3662
NPI assigned
Sep 10, 2018
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Hyunsuk Oh, DCNPI 1386944163
Title
Clinical Director
Phone
(443) 994-3208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3053 W Olympic Blvd Ste 203
Los Angeles, CA 90006-2558

Mailing address

3053 W Olympic Blvd Ste 203
Los Angeles, CA 90006-2558
Phone (213) 384-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190815001528 CA Part B Supplier - Clinic/Group Practice 1658611256 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

3053 W Olympic Blvd
Ste 203
Los Angeles, CA 90006
Phone (213) 384-3830

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1558844191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-384-3830",
            "fax_number": "213-384-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-384-3830",
            "fax_number": "213-384-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNSUK OH CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "HYUNSUK",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "443-994-3208",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.