Wang Young Yoo, DIPL. OM, L.AC, PHD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121-000725 Issued in VA

Practice address

14641 Lee Hwy Ste D6
Centreville, VA 20121-5819

Phone

(703) 625-7116

Fax

(703) 815-8502

NPI assigned

Sep 10, 2014

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Geunjae Clinic LLC.

  • Acupuncturist
  • Centreville, VA
  • NPI 1952853798
  NPD (past) Authorized official

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1710388780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14641 LEE HWY STE D6",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215819",
            "telephone_number": "703-625-7116",
            "fax_number": "703-263-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14641 LEE HWY STE D6",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215819",
            "telephone_number": "703-625-7116",
            "fax_number": "703-815-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "WANG",
        "middle_name": "YOUNG",
        "credential": "DIPL. OM, L.AC, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02064",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121-000725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Witmer, MD
• Trisha Yamamoto, D.C.
• Clara Myung-Hee Yi, L. AC
• Kwang Y Yi, PT
• Yk Dental Centreville PC (YK Dental Care)
• Heather Hyeonmi Yoon, DDS
• Jaewon Yoon, D.M.D.
• Tracey Sue Yost, OTR/L
• Sugkee Youn, M.D.
• Young Kim DDS of Centreville PLLC

• Acupuncturist in Centreville, VA
• Providers in Centreville, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.