In Soon Ahn, L.AC.

Individual provider Active NPI Acupuncturist · Hawaiian Gardens, CA

NPI 1316288129 · NPPES record last updated Mar 5, 2013

Key facts

NPI
1316288129
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AC 14559 (CA)
Practice address
12587 Carson St
Hawaiian Gardens, CA 90716-1667
Phone
(562) 809-8626
Fax
(562) 865-8957
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AC 14559CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Morning Acupuncture, Inc. Acupuncturist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 14559 CA Yes

Addresses

Primary practice location

12587 Carson St
Hawaiian Gardens, CA 90716-1667

Mailing address

12587 Carson St
Hawaiian Gardens, CA 90716-1667
Phone (562) 809-8626

Other providers in Hawaiian Gardens, CA

All providers in Hawaiian Gardens, CA · Acupuncturist in California

Sources for this page

Verify at the official NPI Registry.