{
"Npi": {
"NPI": "1609118892",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LEE",
"FirstName": "WEIKUANG",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "L.AC.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LEE",
"OtherFirstName": "DAVID",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "L.AC.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "4912 BARSTOW ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90032-2110",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "562-741-8228",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4912 BARSTOW ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOS ANGELES",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90032-2110",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "562-741-8228",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/26/2013",
"LastUpdateDate": "03/26/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "AC13579",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}