Alexander Young Soo Seo, LAC PHD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4920 Issued in CA

Practice address

809 S Hobart BL
Los Angeles, CA 90005-2702

Phone

(213) 385-3304

Fax

(212) 487-2640

NPI assigned

Nov 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Youngsoo Seo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Sungmin Group USA, Inc

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1376238592
  NPD Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1790967289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S HOBART BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052702",
            "telephone_number": "213-385-3304",
            "fax_number": "212-487-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S HOBART BL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052702",
            "telephone_number": "213-385-3304",
            "fax_number": "212-487-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "ALEXANDER",
        "middle_name": "YOUNG SOO",
        "credential": "LAC PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "4920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNGSOO",
            "last_name": "SEO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Henrison Seno
• Victoria Seno
• Kenneth Boyce Senstad, EMT
• Katharine Isabel Senter, MD
• Seo Acupuncture & Herb Clinic, Inc.
• Byung Kil Seo
• Chung Seok Seo, ACU
• Gisung Seo, ACUPUNCTURE
• Grace Dongju Seo
• Ha Rang Seo

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.