Active NPI
Su Yeon Seong
- Acupuncturist
- Fullerton, CA
National Provider Identifier
1669964755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11996
- Practice address
- 2330 Conejo LN
Fullerton, CA 92833-1537 - Phone
- (714) 686-2946
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 11996 | CA | Primary |
Addresses
Primary practice location
2330 Conejo LN
Fullerton, CA 92833-1537
Mailing address
2330 Conejo LN
Fullerton, CA 92833-1537
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11996 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1669964755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 CONEJO LN",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928331537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 CONEJO LN",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928331537",
"telephone_number": "714-686-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEONG",
"first_name": "SU YEON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.