Active NPI
Jung Eun Seo, DAOM, L.AC.
- Acupuncturist
- Torrance, CA
National Provider Identifier
1871065748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC16087
- Practice address
- 4441 Calle Mayor
Torrance, CA 90505-4431 - Phone
- (310) 378-8788
- Fax
- (310) 579-6566
- NPI assigned
- Dec 17, 2018
- Sex
- Female
- 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 | AC16087 | CA | Primary |
Addresses
Primary practice location
4441 Calle Mayor
Torrance, CA 90505-4431
Mailing address
315 S la Fayette Park PL Apt 402
Los Angeles, CA 90057-4629
Phone (323) 447-8490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC16087 | Other | CA | ACUPUNCTURE |
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 |
|---|---|---|---|
| AC16087 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenuff Acupuncture & Herbs, Inc | Acupuncturist | Past | Accepting new patients |
| Calle Mayor Acuptuncture & Herb | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Acupuncturist
- Torrance, CA
- NPI 1740487479
-
- Acupuncturist
- Torrance, CA
- NPI 1548776248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1871065748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S LA FAYETTE PARK PL APT 402",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574629",
"telephone_number": "323-447-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 CALLE MAYOR",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054431",
"telephone_number": "310-378-8788",
"fax_number": "310-579-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "JUNG EUN",
"name_prefix": "Dr.",
"credential": "DAOM, L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC16087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "AC16087",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.