Active NPI
Jungho Ha, LICENSE ACUPUNCTURE
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1780199968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC11036
- Practice address
- 3003 W Olympic Blvd Ste 201
Los Angeles, CA 90006-6511 - Phone
- (213) 425-1924
- NPI assigned
- Dec 9, 2017
- 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 | AC11036 | CA | Primary |
Addresses
Primary practice location
3003 W Olympic Blvd Ste 201
Los Angeles, CA 90006-6511
Mailing address
3003 W Olympic Blvd Ste 201
Los Angeles, CA 90006-6511
Phone (213) 425-1924
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 |
|---|---|---|---|
| AC11036 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512777600000",
"number": "1780199968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 W OLYMPIC BLVD STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900066511",
"telephone_number": "213-425-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 W OLYMPIC BLVD STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900066511",
"telephone_number": "213-425-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HA",
"first_name": "JUNGHO",
"credential": "LICENSE ACUPUNCTURE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-09",
"last_updated": "2017-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.