Active NPI
Kyeong Ho Ko, L.AC
- Acupuncturist
- La Habra, CA
National Provider Identifier
1861793200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 13372
- Practice address
- 304 N Harbor Blvd
La Habra, CA 90631-4847 - Phone
- (562) 694-2878
- Fax
- (562) 694-2809
- NPI assigned
- Nov 16, 2010
- 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 | AC 13372 | CA | Primary |
Addresses
Primary practice location
304 N Harbor Blvd
La Habra, CA 90631-4847
Mailing address
304 N Harbor Blvd
La Habra, CA 90631-4847
Phone (562) 694-2878
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 |
|---|---|---|---|
| AC 13372 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1861793200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 N HARBOR BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906314847",
"telephone_number": "562-694-2878",
"fax_number": "562-694-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N HARBOR BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906314847",
"telephone_number": "562-694-2878",
"fax_number": "562-694-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "KYEONG HO",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-16",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 13372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.