Organization Active NPI

Energetic Acupuncture Medical Group

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1669002390
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ENERGETIC ACUPUNCTURE MEDICAL GROUP
Doing business as
Energetic Acupuncture
Practice address
369 N Fairfax Ave Ste 2
Los Angeles, CA 90036-2175
Phone
(323) 963-5027
Fax
(323) 499-1274
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Ick Youl EomNPI 1528444668
Title
Ceo
Phone
(323) 963-5027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

369 N Fairfax Ave Ste 2
Los Angeles, CA 90036-2175

Mailing address

369 N Fairfax Ave Ste 2
Los Angeles, CA 90036-2175
Phone (323) 963-5027

Other identifiers 1

IdentifierTypeStateIssuer
1528444668OtherNPPES

Other names 1

  • Energetic Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

417 N Larchmont Blvd
#34
Los Angeles, CA 90004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1669002390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 N FAIRFAX AVE STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362175",
            "telephone_number": "323-963-5027",
            "fax_number": "323-499-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 N FAIRFAX AVE STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362175",
            "telephone_number": "323-963-5027",
            "fax_number": "323-499-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGETIC ACUPUNCTURE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "EOM",
        "authorized_official_first_name": "ICK YOUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-963-5027"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1528444668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Energetic Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 6, 2026; 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.