Active NPI
Kyoung Joo NA
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1851919864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18300
- Practice address
- 3460 W Olympic Blvd
Los Angeles, CA 90019-2124 - Phone
- (323) 733-8814
- NPI assigned
- Jul 7, 2020
- 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 | 18300 | CA | Primary |
Addresses
Primary practice location
3460 W Olympic Blvd
Los Angeles, CA 90019-2124
Mailing address
910 S Gramercy PL Apt 107
Los Angeles, CA 90019-2193
Phone (602) 882-8606
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 |
|---|---|---|---|
| 18300 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1851919864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S GRAMERCY PL APT 107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900192193",
"telephone_number": "602-882-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 W OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900192124",
"telephone_number": "323-733-8814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NA",
"first_name": "KYOUNG",
"middle_name": "JOO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "18300",
"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 Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.