Individual provider Active NPI

In Soo Lee, ACUPUNCTURIST

  • Acupuncturist
  • Fountain Valley, CA
National Provider Identifier
1932392321
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9645 Issued in CA
Practice address
8840 Warner Ave
#201
Fountain Valley, CA 92708-3232
Phone
(714) 398-5982
Fax
(714) 848-3605
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9645 CA Primary

Addresses

Primary practice location

8840 Warner Ave
#201
Fountain Valley, CA 92708-3232

Mailing address

9755 Bixby Ave
#B
Garden Grove, CA 92841-3746
Phone (714) 398-5982

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
AC9645CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1932392321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 BIXBY AVE",
            "address_2": "#B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413746",
            "telephone_number": "714-398-5982",
            "fax_number": "714-229-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 WARNER AVE",
            "address_2": "#201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083232",
            "telephone_number": "714-398-5982",
            "fax_number": "714-848-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "IN SOO",
        "name_prefix": "Mr.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.