Individual provider Active NPI

Inok Jeoung, L. AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1922344829
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 13775 Issued in CA
Practice address
440 Shatto PL
Los Angeles, CA 90020-1793
Phone
(213) 487-0150
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 13775 CA Primary

Addresses

Primary practice location

440 Shatto PL
Los Angeles, CA 90020-1793

Mailing address

440 Shatto PL
Los Angeles, CA 90020-1793
Phone (213) 487-0150

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
AC 13775CAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1922344829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201793",
            "telephone_number": "213-487-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201793",
            "telephone_number": "213-487-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEOUNG",
        "first_name": "INOK",
        "credential": "L. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13775",
            "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 Dec 20, 2012; 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.