Individual provider Active NPI

Sang Kun Lee, PHD, L.AC.

  • Acupuncturist
  • Pasadena, CA
National Provider Identifier
1962576405
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10623 Issued in CA
Practice address
50 Bellefontaine St Ste 301
Pasadena, CA 91105-3132
Phone
(626) 359-8889
Fax
(626) 305-3149
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10623 CA Primary

Addresses

Primary practice location

50 Bellefontaine St Ste 301
Pasadena, CA 91105-3132

Mailing address

520 S Kingsley Dr Apt 307
Los Angeles, CA 90020-3510
Phone (626) 359-8889

Other practice location 1

206 S Robertson Blvd
Beverly Hills, CA 90211-2811
Phone (626) 359-8889

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC10623CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance & Harmony Wellness, Inc. Acupuncturist Current Accepting new patients

Locations

301 W Huntington Dr
Ste 112
Arcadia, CA 91007
Phone (626) 294-2890

9100 Wilshire Blvd
Ste 362W
Beverly Hills, CA 90212
Phone (310) 734-7780

50 Bellefontaine St
Ste 301
Pasadena, CA 91105
Phone (626) 214-5523

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1962576405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S KINGSLEY DR APT 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203510",
            "telephone_number": "626-359-8889",
            "fax_number": "626-305-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST STE 301",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-359-8889",
            "fax_number": "626-305-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 S Robertson Blvd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112811",
            "country_code": "US",
            "telephone_number": "626-359-8889",
            "fax_number": "626-305-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANG",
        "middle_name": "KUN",
        "name_prefix": "Dr.",
        "credential": "PHD, L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.