Active NPI
Jung H Lee, L.AC.
- Acupuncturist
- Moreno Valley, CA
National Provider Identifier
1699853424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC#8001
- Practice address
- 25211 Sunnymead Blvd. #D-5
Moreno Valley, CA 92553 - Phone
- (951) 243-7088
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | AC#8001 | CA | Primary |
Addresses
Primary practice location
25211 Sunnymead Blvd. #D-5
Moreno Valley, CA 92553
Mailing address
1043 Hawthorne Dr.
Hemet, CA 92545
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 |
|---|---|---|---|
| AC#8001 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699853424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 HAWTHORNE DR.",
"city": "HEMET",
"state": "CA",
"postal_code": "92545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25211 SUNNYMEAD BLVD. #D-5",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "92553",
"telephone_number": "951-243-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JUNG",
"middle_name": "H",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC#8001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.