Active NPI
Jee Young Kwon, ACUPUNCTURIST
- Acupuncturist
- Brea, CA
National Provider Identifier
1780963439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12469
- Practice address
- 311 Amberwick LN.
Brea, CA 92821 - Phone
- (714) 732-7319
- NPI assigned
- Aug 12, 2011
- Last updated
- Aug 12, 2011
- 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 | AC12469 | CA | Primary |
Addresses
Primary practice location
311 Amberwick LN.
Brea, CA 92821
Mailing address
311 Amberwick LN.
Brea, CA 92821
Phone (714) 732-7319
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 |
|---|---|---|---|
| AC12469 | CA | MD | Acupuncturist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1780963439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 AMBERWICK LN.",
"city": "BREA",
"state": "CA",
"postal_code": "92821",
"telephone_number": "714-732-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 AMBERWICK LN.",
"city": "BREA",
"state": "CA",
"postal_code": "92821",
"telephone_number": "714-732-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "JEE YOUNG",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-12",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.