Individual provider Active NPI

Eun Kang, L.AC.

  • Acupuncturist
  • Gardena, CA
National Provider Identifier
1639509979
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 15587 Issued in CA
Practice address
16303 S Western Ave Ste 9
Gardena, CA 90247-4674
Phone
(310) 538-9917
Fax
(310) 538-9918
NPI assigned
Nov 22, 2013
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 15587 CA Primary

Addresses

Primary practice location

16303 S Western Ave Ste 9
Gardena, CA 90247-4674

Mailing address

16303 S Western Ave Ste 9
Gardena, CA 90247-4674
Phone (310) 538-9917

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
AC 15587CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
The Art of Acupuncture, Inc. Acupuncturist Current Accepting new patients
Totalcare One Acupuncturist Past Accepting new patients
Totalcare One Chiropractic PastSince Oct 17, 2021 Accepting new patients

Locations

16303 S Western Ave
Ste 9
Gardena, CA 90247
Phone (310) 538-9917

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1639509979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16303 S WESTERN AVE STE 9",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474674",
            "telephone_number": "310-538-9917",
            "fax_number": "310-538-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 S WESTERN AVE STE 9",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474674",
            "telephone_number": "310-538-9917",
            "fax_number": "310-538-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "EUN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.