Active NPI
Ki Hyun Jeon, PH.D
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1720339351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9920
- Practice address
- 2858 W 8TH St
Los Angeles, CA 90005-1235 - Phone
- (213) 365-2858
- Fax
- (213) 365-3855
- NPI assigned
- Sep 22, 2012
- 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 | AC9920 | CA | Primary |
Addresses
Primary practice location
2858 W 8TH St
Los Angeles, CA 90005-1235
Mailing address
5 Cottonwood Cir
Rolling Hills Estates, CA 90274-3412
Phone (213) 675-3109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC9920 | Other | CA | STATE LICENSE NUMBER |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC9920 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348272000000",
"number": "1720339351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COTTONWOOD CIR",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743412",
"telephone_number": "213-675-3109",
"fax_number": "213-365-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2858 W 8TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051235",
"telephone_number": "213-365-2858",
"fax_number": "213-365-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEON",
"first_name": "KI",
"middle_name": "HYUN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-22",
"last_updated": "2012-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "AC9920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.