Individual provider Active NPI

Koren L Wong, L. AC.

  • Acupuncturist
  • Sunnyvale, CA
National Provider Identifier
1992949499
Registry record updated Sep 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7766 Issued in CA
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

Updated by the provider on Sep 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC7766CAMDAcupuncturist

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.

Verify at the official NPI Registry.