Individual provider Active NPI

Chang Yong Lee, L.AC

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1598280349
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16277 Issued in CA
Practice address
7700 Orangethorpe Ave Ste 5
Buena Park, CA 90621-1217
Phone
(714) 715-2018
NPI assigned
Aug 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 36327 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 16277 CA Primary

Addresses

Primary practice location

7700 Orangethorpe Ave Ste 5
Buena Park, CA 90621-1217

Mailing address

2366 Applewood Cir
Fullerton, CA 92833-1217
Phone (714) 980-0130

Other practice location 1

7700 Orangethorpe Ave Ste 5
Buena Park, CA 90621-1217
Phone (714) 715-2018

Other practice location 2

7700 Orangethorpe Ave Ste 5
Buena Park, CA 90621-1217
Phone (714) 715-2018

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
36327CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mago Healing Acupuncture Inc Acupuncturist Current Accepting new patients

Locations

7700 Orangethorpe Ave
Ste 5
Buena Park, CA 90621
Phone (714) 715-2018

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": "1502582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1598280349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 APPLEWOOD CIR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331217",
            "telephone_number": "714-980-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 ORANGETHORPE AVE STE 5",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211217",
            "telephone_number": "714-715-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Orangethorpe Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906211217",
            "country_code": "US",
            "telephone_number": "714-715-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 Orangethorpe Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906211217",
            "country_code": "US",
            "telephone_number": "714-715-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHANG",
        "middle_name": "YONG",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-13",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "36327",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.