Jae Gon Ro, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC13215 Issued in CA

Practice address

301 S Western Ave
#205&206
Los Angeles, CA 90020-3831

Phone

(213) 739-2236

NPI assigned

Jan 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jae Gon Ro Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1699046441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S WESTERN AVE",
            "address_2": "#205&206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203831",
            "telephone_number": "213-739-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WESTERN AVE",
            "address_2": "#205&206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203831",
            "telephone_number": "213-739-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "JAE GON",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAE GON",
            "last_name": "RO",
            "prefix": "MR.",
            "credential": "LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• RMD Care Inc.
• Christina Ro, LCSW 67046
• Evelyn H Ro, LCSW
• Geoffrey Ro, MD
• Hong Gyun Ro, L.AC
• Leslie Ro
• Michael Ro
• Raymond C Ro
• Simon Hee Sang Ro, MD
• Yunjoung Ro, ACSW

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.