Individual provider Active NPI

Tae Young Choi, L. AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1962661306
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
L.AC.5450 Issued in CA
Practice address
980 Menlo Ave
#303
Los Angeles, CA 90006-2867
Phone
(213) 384-1718
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 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 L.AC.5450 CA Primary

Addresses

Primary practice location

980 Menlo Ave
#303
Los Angeles, CA 90006-2867

Mailing address

11832 Rosecrans Ave
Suite 257
Norwalk, CA 90650-4107
Phone (562) 396-1760

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
L.AC.5450CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1962661306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11832 ROSECRANS AVE",
            "address_2": "SUITE 257",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504107",
            "telephone_number": "562-396-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 MENLO AVE",
            "address_2": "#303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062867",
            "telephone_number": "213-384-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "TAE",
        "middle_name": "YOUNG",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "L.AC.5450",
            "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 Jun 2, 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.