Active NPI
Tai Jung Ahn, L.AC.
- Acupuncturist
- Studio City, CA
National Provider Identifier
1386800647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 11912
- Practice address
- 11239 Ventura Blvd
Suite 214
Studio City, CA 91604-3163 - Phone
- (818) 508-6888
- Fax
- (818) 508-6778
- NPI assigned
- Aug 5, 2008
- Last updated
- Aug 5, 2008
- Sex
- Male
- Sole proprietor
- No
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 | AC 11912 | CA | Primary |
Addresses
Primary practice location
11239 Ventura Blvd
Suite 214
Studio City, CA 91604-3163
Mailing address
4346 Matilija Ave
Apt 109
Sherman Oaks, CA 91423-3661
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 |
|---|---|---|---|
| AC 11912 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Dorodny Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Malibu, CA
- NPI 1598903783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1386800647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4346 MATILIJA AVE",
"address_2": "APT 109",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11239 VENTURA BLVD",
"address_2": "SUITE 214",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043163",
"telephone_number": "818-508-6888",
"fax_number": "818-508-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "TAI JUNG",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 11912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.