Individual provider Active NPI

Young Sil Ahn, LAC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1679983415
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15936 Issued in CA
Practice address
3545 Wilshire Blvd
300
Los Angeles, CA 90010-2354
Phone
(213) 273-6579
NPI assigned
May 1, 2014
Last updated
May 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 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 AC15936 CA Primary

Addresses

Primary practice location

3545 Wilshire Blvd
300
Los Angeles, CA 90010-2354

Mailing address

3545 Wilshire Blvd
300
Los Angeles, CA 90010-2354
Phone (213) 273-6579

Other identifiers 1

IdentifierTypeStateIssuer
AC15936OtherCACALIFORNIA ACUPUNCTURE BOARD

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
AC15936CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1679983415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 WILSHIRE BLVD",
            "address_2": "300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102354",
            "telephone_number": "213-273-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 WILSHIRE BLVD",
            "address_2": "300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102354",
            "telephone_number": "213-273-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "YOUNG SIL",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUNCTURE BOARD",
            "identifier": "AC15936",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 1, 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.