Active NPI
Hyung Hoon Lee, L.AC
- Acupuncturist
- Tustin, CA
National Provider Identifier
1740400100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC10996
- Practice address
- 14591 Newport Ave
#102
Tustin, CA 92780 - Phone
- (714) 731-3881
- Fax
- (714) 731-3831
- NPI assigned
- Apr 26, 2007
- 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 | AC10996 | CA | Primary |
Addresses
Primary practice location
14591 Newport Ave
#102
Tustin, CA 92780
Mailing address
1515 W Tedmar Ave
Anaheim, CA 92802-1340
Phone (714) 321-0720
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC10996 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740400100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W TEDMAR AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928021340",
"telephone_number": "714-321-0720",
"fax_number": "714-731-3831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14591 NEWPORT AVE",
"address_2": "#102",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92780",
"telephone_number": "714-731-3881",
"fax_number": "714-731-3831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HYUNG HOON",
"name_prefix": "Dr.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC10996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.