Individual provider Active NPI

Seo Yang

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1790141448
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC33447 Issued in CA
Practice address
8929 S Sepulveda Blvd Ste 100
Los Angeles, CA 90045-3616
Phone
(424) 800-2488
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33447 CA
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC33447 CA Primary

Addresses

Primary practice location

8929 S Sepulveda Blvd Ste 100
Los Angeles, CA 90045-3616

Mailing address

643 S Butte St
San Pedro, CA 90732-3510
Phone (310) 390-9018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205002326 CA Practitioner - Chiropractic 0042514325 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8929 S Sepulveda Blvd
Suite 100
Los Angeles, CA 90045-3616
Phone (424) 800-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC33447CAMDChiropractor
33447CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Re-Lax Chiropractic, Yang Inc Chiropractor Current Accepting new patients

Locations

8929 S Sepulveda Blvd
Ste 100
Los Angeles, CA 90045
Phone (424) 800-2488

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1790141448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 S BUTTE ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323510",
            "telephone_number": "310-390-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 S SEPULVEDA BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453616",
            "telephone_number": "424-800-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "SEO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33447",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33447",
            "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 May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.