Individual provider Active NPI

Eui Young Chung, L.AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1609287218
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC16103 Issued in CA
Practice address
3407 W 6TH St
Ste #702
Los Angeles, CA 90020-2537
Phone
(323) 422-4964
Fax
(877) 366-7722
NPI assigned
May 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC16103 CA Primary

Addresses

Primary practice location

3407 W 6TH St
Ste #702
Los Angeles, CA 90020-2537

Mailing address

950 Magnolia Ave
Apt 31
Los Angeles, CA 90006-5701
Phone (323) 422-4964

Other names 1

  • Justin Chung Other name

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
AC16103CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Raah Acupuncture, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1609287218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MAGNOLIA AVE",
            "address_2": "APT 31",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065701",
            "telephone_number": "323-422-4964",
            "fax_number": "877-366-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 W 6TH ST",
            "address_2": "STE #702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202537",
            "telephone_number": "323-422-4964",
            "fax_number": "877-366-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "EUI YOUNG",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "CHUNG",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 14, 2015; 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.