Active NPI
Youngkeun Lee, L. AC.
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1841530680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC14713
- Practice address
- 2621 W Olympic Blvd Ste 204
Los Angeles, CA 90006 - Phone
- (213) 380-2515
- Fax
- (213) 382-0067
- NPI assigned
- Feb 14, 2013
- 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 | AC14713 | CA | Primary |
Addresses
Primary practice location
2621 W Olympic Blvd Ste 204
Los Angeles, CA 90006
Mailing address
2621 W Olympic Blvd Ste 204
Los Angeles, CA 90006-2878
Phone (213) 380-2515
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 |
|---|---|---|---|
| AC14713 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1841530680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 W OLYMPIC BLVD STE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062878",
"telephone_number": "213-380-2515",
"fax_number": "213-382-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 W OLYMPIC BLVD STE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-380-2515",
"fax_number": "213-382-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YOUNGKEUN",
"name_prefix": "Dr.",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-14",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC14713",
"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 Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.