Individual provider Active NPI

SE Yeong Oh, O.M.D.

  • Acupuncturist
  • Gardena, CA
National Provider Identifier
1740406180
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
10176 Issued in CA
Practice address
2015 W Redondo Beach Blvd Ste F
Gardena, CA 90247-3642
Phone
(424) 340-9357
Fax
(424) 340-9357
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10176 CA
Acupuncturist 171100000X 10176 CA Primary

Addresses

Primary practice location

2015 W Redondo Beach Blvd Ste F
Gardena, CA 90247-3642

Mailing address

2012 Brooke Lane
Flullerton, CA 92833
Phone (714) 340-6590

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
AC10176CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Medical Group, Inc. Acupuncturist Past Accepting new patients
D Acupuncture Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1740406180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 BROOKE LANE",
            "city": "FLULLERTON",
            "state": "CA",
            "postal_code": "92833",
            "telephone_number": "714-340-6590",
            "fax_number": "714-236-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W REDONDO BEACH BLVD STE F",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473642",
            "telephone_number": "424-340-9357",
            "fax_number": "424-340-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "SE YEONG",
        "credential": "O.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10176",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.