Active NPI
Jongshin Sung
- Acupuncturist
- Fullerton, CA
National Provider Identifier
1770797318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 10272
- Practice address
- 1299 MC Fadden Dr
Fullerton, CA 92833-5603 - Phone
- (714) 797-0411
- NPI assigned
- May 10, 2007
- Last updated
- Jul 8, 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 | 10272 | CA | Primary |
Addresses
Primary practice location
1299 MC Fadden Dr
Fullerton, CA 92833-5603
Mailing address
1299 MC Fadden Dr
Fullerton, CA 92833-5603
Phone (714) 797-0411
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 |
|---|---|---|---|
| 10272 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770797318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 MC FADDEN DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928335603",
"telephone_number": "714-797-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 MC FADDEN DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928335603",
"telephone_number": "714-797-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNG",
"first_name": "JONGSHIN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "10272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
- Sun Acupuncture and Herb Clinic Corp
- Sun Haven Care, Inc. (Terrace View Care Center)
- Farrah Firozali Sunderji, O.D.
- Sung J. Kim Physical Therapy, Apc (JK Prorehab)
- Jayun Sung
- Carmelito Torres Sunglao II
- Maria Leonor Umali Sunglao
- Seema Sunil Panicker, FNP-C
- Amanjot Sunner Basi, O.D.
- Sunny Hills Behavioral Health, Inc.
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.