Active NPI
Seunghoon Ahn
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1982929014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12631
- Practice address
- 456 S Serrano Ave
Los Angeles, CA 90020-3670 - Phone
- (213) 568-5465
- Fax
- (213) 386-4560
- NPI assigned
- Mar 31, 2010
- Sex
- Male
- 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 | AC12631 | CA | Primary |
Addresses
Primary practice location
456 S Serrano Ave
Los Angeles, CA 90020-3670
Mailing address
733 S Mariposa Ave
Apt. 101
Los Angeles, CA 90005-2051
Phone (213) 568-5465
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 |
|---|---|---|---|
| AC12631 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1982929014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 S MARIPOSA AVE",
"address_2": "APT. 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900052051",
"telephone_number": "213-568-5465",
"fax_number": "213-386-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 S SERRANO AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203670",
"telephone_number": "213-568-5465",
"fax_number": "213-386-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "SEUNGHOON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-31",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC12631",
"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 Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.