Active NPI
Kyung Yeol Lee, L.AC
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1609103357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11924
- Practice address
- 1300 25TH Ave Ste 100
San Francisco, CA 94122-1563 - Phone
- (415) 766-5678
- Fax
- (415) 373-1708
- NPI assigned
- Nov 17, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 11924 | CA | Primary |
Addresses
Primary practice location
1300 25TH Ave Ste 100
San Francisco, CA 94122-1563
Mailing address
1300 25TH Ave
#100
San Francisco, CA 94122
Phone (415) 766-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11924 | Other | CA | AUPUNCTURIST |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Acupuncture & Healing Center | 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 and National Provider Directory roles.
-
- Acupuncturist
- San Francisco, CA
- NPI 1760750699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321660800000",
"number": "1609103357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 25TH AVE",
"address_2": "#100",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94122",
"telephone_number": "415-766-5678",
"fax_number": "415-373-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 25TH AVE STE 100",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221563",
"telephone_number": "415-766-5678",
"fax_number": "415-373-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KYUNG",
"middle_name": "YEOL",
"name_prefix": "Mr.",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-17",
"last_updated": "2011-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUPUNCTURIST",
"identifier": "11924",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.