Daniel Jung Kwak, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12635 Issued in CA

Practice address

5100 N 6TH St Ste 105
Fresno, CA 93710-7506

Phone

(559) 545-1512

Fax

(559) 570-0185

NPI assigned

Mar 21, 2010

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jung Kwak Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1639493521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107506",
            "telephone_number": "559-545-1512",
            "fax_number": "559-570-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107506",
            "telephone_number": "559-545-1512",
            "fax_number": "559-570-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "DANIEL",
        "middle_name": "JUNG",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-21",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNG",
            "last_name": "KWAK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• C Thomas Kutz, LCSW
• Martin Ko Kuwamoto, D.C.
• Russell G. Kuwamoto, D. C.
• Kuwar Anand DO Professional Corporation
• Bethany Sara Kuykendall, AMFT
• Randal Roy Kwan, PHARMD
• John Francis Kwock, M.D.
• Alexander Hing Kwok, PHARM.D.
• Amy Mei-Yee Kwok, MD
• Jessica Kwok, P.T.

• Acupuncturist in Fresno, CA
• Providers in Fresno, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.