Individual provider Active NPI

Tae Sik Youn, ACUPUNCTURE

  • Acupuncturist
  • Compton, CA
National Provider Identifier
1770164139
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
2787 E del Amo Blvd Ste H5
Compton, CA 90221-6005
Phone
(213) 352-3157
NPI assigned
Apr 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

2787 E del Amo Blvd Ste H5
Compton, CA 90221-6005

Mailing address

941 S Ardmore Ave
105
Los Angeles, CA 90006-1345
Phone (213) 352-3157

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

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1770164139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 S ARDMORE AVE",
            "address_2": "105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061345",
            "telephone_number": "213-352-3157",
            "fax_number": "213-403-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 E DEL AMO BLVD STE H5",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902216005",
            "telephone_number": "213-352-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUN",
        "first_name": "TAE SIK",
        "credential": "ACUPUNCTURE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-17",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.