Provision Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

PROVISION ACUPUNCTURE

Practice address

1107 Crenshaw Blvd
Los Angeles, CA 90019-3112

Phone

(818) 732-0369

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Hyungwon Lee, PHD, LACNPI 1164076774

Title

President

Phone

(213) 725-8915

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyungwon Lee, PHD, LAC

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1164076774
  NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1700657145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193112",
            "telephone_number": "818-732-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193112",
            "telephone_number": "818-732-0369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Pacifica Ste 270",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926187338",
            "country_code": "US",
            "telephone_number": "818-732-0369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVISION ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYUNGWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-725-8915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUNCTURE BOARD",
            "identifier": "1700465937",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUNCTURE BOARD",
            "identifier": "1164076774",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proverbs Consulting Services, Inc.
• Providence Foot and Ankle Center
• Provident Home Health, Inc.
• Provider Service Network, Inc
• Taryn Provinchain
• Tarra Provisor
• Jackie Provost, MPH
• Pigeon Provost
• William Provosty, MD
• PRT RX, Inc.

• 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 7, 2025; 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.