Individual provider Active NPI

Yirye Kang, L.AC

  • Acupuncturist
  • Rancho Palos Verdes, CA
National Provider Identifier
1710428909
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC16637 Issued in CA
Practice address
28924 S Western Ave Ste 105
Rancho Palos Verdes, CA 90275-0823
Phone
(213) 841-2425
Fax
(213) 403-4545
NPI assigned
Mar 20, 2017
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 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 AC16637 CA Primary

Addresses

Primary practice location

28924 S Western Ave Ste 105
Rancho Palos Verdes, CA 90275-0823

Mailing address

10580 Triple Crown LN
Cypress, CA 90720-5270
Phone (213) 841-2425

Other practice location 1

10580 Triple Crown Ln
Cypress, CA 90720-5270
Phone (213) 841-2425

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
AC16637CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1710428909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 TRIPLE CROWN LN",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "907205270",
            "telephone_number": "213-841-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28924 S WESTERN AVE STE 105",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750823",
            "telephone_number": "213-841-2425",
            "fax_number": "213-403-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10580 Triple Crown Ln",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "CA",
            "postal_code": "907205270",
            "country_code": "US",
            "telephone_number": "213-841-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "YIRYE",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.