Individual provider Active NPI

Hyo-Won Henry Kang, DAOM

  • Acupuncturist
  • Sherman Oaks, CA
National Provider Identifier
1699824102
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5730 Issued in CA
Practice address
14838 Magnolia Blvd
Sherman Oaks, CA 91403-1328
Phone
(818) 385-0916
Fax
(818) 907-9262
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5730 CA Primary

Addresses

Primary practice location

14838 Magnolia Blvd
Sherman Oaks, CA 91403-1328

Mailing address

14838 Magnolia Blvd.
Sherman Oaks, CA 91403-1328
Phone (818) 385-0916

Other names 1

  • Henry Kang Other name

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
5730CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Best Acupuncture Clinic PLLC Acupuncturist Current Accepting new patients
Marin Holy Hill Acupuncture Clinic LLC Acupuncturist Current Accepting new patients
Henry Kang Acupuncture Clinic Inc Past Accepting new patients

Locations

1933 W Main St
Ste 1
Mesa, AZ 85201
Phone (480) 730-4991

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1699824102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14838 MAGNOLIA BLVD.",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031328",
            "telephone_number": "818-385-0916",
            "fax_number": "818-907-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14838 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031328",
            "telephone_number": "818-385-0916",
            "fax_number": "818-907-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "HYO-WON",
        "middle_name": "HENRY",
        "credential": "DAOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-01-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRY",
            "last_name": "KANG",
            "credential": "LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.