Individual provider Active NPI

Sung Shik Kuk, L.AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1992218291
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17944 Issued in CA
Practice address
2310 S Union Ave
Los Angeles, CA 90007-1843
Phone
(213) 537-9060
NPI assigned
Nov 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 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 17944 CA Primary

Addresses

Primary practice location

2310 S Union Ave
Los Angeles, CA 90007-1843

Mailing address

2310 S Union Ave
Los Angeles, CA 90007-1843
Phone (213) 537-9060

Other practice location 1

2727 W 6th St
Los Angeles, CA 90057-3111
Phone (213) 738-1974 ext. 106

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
17944CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Wellness Center Acupuncturist Current Accepting new patients
South Baylo University Acupuncturist Past Accepting new patients

Locations

2310 S Union Ave
Los Angeles, CA 90007
Phone (213) 537-9060

Organizations & group practices 2

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1992218291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071843",
            "telephone_number": "213-537-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071843",
            "telephone_number": "213-537-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900573111",
            "country_code": "US",
            "telephone_number": "213-738-1974 x106",
            "fax_number": "213-738-1923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUK",
        "first_name": "SUNG",
        "middle_name": "SHIK",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17944",
            "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 Apr 5, 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.