Active NPI
Sujin Lee
- Acupuncturist
- Buena Park, CA
National Provider Identifier
1760269252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19866
- Practice address
- 7151 Lincoln Ave Ste K
Buena Park, CA 90620-4615 - Phone
- (714) 952-1080
- Fax
- (714) 952-1660
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- 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 | 19866 | CA | Primary |
Addresses
Primary practice location
7151 Lincoln Ave Ste K
Buena Park, CA 90620-4615
Mailing address
7151 Lincoln Ave Ste K
Buena Park, CA 90620-4615
Phone (714) 952-1080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7151 Lincoln Ave
Suite K
Buena Park, CA 90620-4614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19866 | CA | MD | Family Nurse Practitioner |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1760269252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7151 LINCOLN AVE STE K",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204615",
"telephone_number": "714-952-1080",
"fax_number": "714-952-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7151 LINCOLN AVE STE K",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204615",
"telephone_number": "714-952-1080",
"fax_number": "714-952-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUJIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.