Individual provider Active NPI

Siwoo Lee

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1821479429
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11599 Issued in CA
Practice address
984 S Westmoreland Ave
Apt 2
Los Angeles, CA 90006-5614
Phone
(213) 284-1047
NPI assigned
Jun 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11599 CA Primary

Addresses

Primary practice location

984 S Westmoreland Ave
Apt 2
Los Angeles, CA 90006-5614

Mailing address

984 S Westmoreland Ave
Apt 2
Los Angeles, CA 90006-5614
Phone (213) 284-1047

Other identifiers 1

IdentifierTypeStateIssuer
AC11599OtherCAACUPUNCTURIST

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

LicenseStateTypeSpecialty
AC11599CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Now Healing Center Acupuncturist CurrentSince Sep 5, 2023 Accepting new patients

Locations

7455 La Palma Ave
Buena Park, CA 90620
Phone (213) 284-1047

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1821479429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 S WESTMORELAND AVE",
            "address_2": "APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065614",
            "telephone_number": "213-284-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 S WESTMORELAND AVE",
            "address_2": "APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065614",
            "telephone_number": "213-284-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIWOO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "AC11599",
            "state": "CA"
        }
    ],
    "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 Jun 9, 2015; 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.