Individual provider Active NPI

Hyuk Song, L.AC

  • Acupuncturist
  • West Hollywood, CA
National Provider Identifier
1700031895
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12822 Issued in CA
Practice address
8600 W Sunset Blvd
A
West Hollywood, CA 90069-2302
Phone
(323) 931-5454
Fax
(323) 931-5453
NPI assigned
Nov 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 12822 CA Primary

Addresses

Primary practice location

8600 W Sunset Blvd
A
West Hollywood, CA 90069-2302

Mailing address

8600 W Sunset Blvd
#A
West Hollywood, CA 90069-2302
Phone (323) 931-5454

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
12822CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meta Healing Center Acupuncturist Past Accepting new patients

Organizations & group practices 1

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": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1700031895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W SUNSET BLVD",
            "address_2": "#A",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692302",
            "telephone_number": "323-931-5454",
            "fax_number": "310-854-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W SUNSET BLVD",
            "address_2": "A",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692302",
            "telephone_number": "323-931-5454",
            "fax_number": "323-931-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "HYUK",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.