Organization Active NPI

Seung Kyo Jeong

  • Acupuncturist
  • Arcadia, CA
National Provider Identifier
1619113685
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10520 Issued in CA
Legal business name
SEUNG KYO JEONG
Practice address
115 E Live Oak Ave
Suite 102
Arcadia, CA 91006-5241
Phone
(626) 538-4787
NPI assigned
Dec 22, 2008
Last updated
Jul 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Seung Kyo Jeong
Title
Acupuncturist
Phone
(626) 538-4787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10520 CA Primary

Addresses

Primary practice location

115 E Live Oak Ave
Suite 102
Arcadia, CA 91006-5241

Mailing address

115 E Live Oak Ave
Suite 102
Arcadia, CA 91006-5241
Phone (626) 538-4787

National Provider Directory

National Provider Directory

Locations

115 E Live Oak Ave
Ste 102
Arcadia, CA 91006
Phone (626) 538-4787

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1619113685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LIVE OAK AVE",
            "address_2": "SUITE 102",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065241",
            "telephone_number": "626-538-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LIVE OAK AVE",
            "address_2": "SUITE 102",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065241",
            "telephone_number": "626-538-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEUNG KYO JEONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_middle_name": "KYO",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "626-538-4787"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.