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JISU LEE
NPI 1740884758
Acupuncturist in San Pedro, CA

Active since November 30, 2020
505 S PACIFIC AVE UNIT 103, SAN PEDRO, CA 90731(310) 935-2182 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jisu Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JISU LEE (NPI 1740884758) is an individual acupuncturist in San Pedro, California, licensed in California (AC18969) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1740884758
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameJISU LEE
Location Address505 S PACIFIC AVE UNIT 103San Pedro, CA 90731-2656
Mailing Address719 Orange Grove Ave Apt 203Glendale, CA 91205-1789 · (626) 808-7075
Phone(310) 935-2182
Sole ProprietorYes
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1740884758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · AC18969
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
505 S PACIFIC AVE UNIT 103, San Pedro, CA 90731
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jisu Lee's NPI number?

The NPI number for Jisu Lee is 1740884758. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Jisu Lee located?

Jisu Lee practices at 505 S Pacific Ave Unit 103, San Pedro, CA 90731. The listed phone number is (310) 935-2182.

What is Jisu Lee's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Jisu Lee was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.