Individual provider Active NPI

Haeyun Kim Lee

  • Acupuncturist
  • Lakewood, CA
National Provider Identifier
1669876744
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16306 Issued in CA
Practice address
12350 Del Amo Blvd Apt 313
Lakewood, CA 90715-1704
Phone
(562) 292-8422
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16306 CA Primary

Addresses

Primary practice location

12350 Del Amo Blvd Apt 313
Lakewood, CA 90715-1704

Mailing address

12350 Del Amo Blvd Apt 313
Lakewood, CA 90715-1704
Phone (562) 292-8422

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

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1669876744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 DEL AMO BLVD APT 313",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151704",
            "telephone_number": "562-292-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 DEL AMO BLVD APT 313",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151704",
            "telephone_number": "562-292-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM LEE",
        "first_name": "HAEYUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.