Active NPI
Koren L Wong, L. AC.
- Acupuncturist
- Sunnyvale, CA
National Provider Identifier
1992949499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC7766
- Practice address
- 355 W Olive Ave
Suite 208a
Sunnyvale, CA 94086-7662 - Phone
- (408) 242-9562
- NPI assigned
- Apr 28, 2009
- Sex
- Female
- 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 | AC7766 | CA | Primary |
Addresses
Primary practice location
355 W Olive Ave
Suite 208a
Sunnyvale, CA 94086-7662
Mailing address
1669 Hollenbeck Ave
#2-221
Sunnyvale, CA 94087-5402
Phone (408) 242-9562
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 |
|---|---|---|---|
| AC7766 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348272000000",
"number": "1992949499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1669 HOLLENBECK AVE",
"address_2": "#2-221",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940875402",
"telephone_number": "408-242-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W OLIVE AVE",
"address_2": "SUITE 208A",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940867662",
"telephone_number": "408-242-9562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "KOREN",
"middle_name": "L",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-28",
"last_updated": "2012-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.