Individual provider Active NPI

Seung Kun Ahn, L.AC.

  • Acupuncturist
  • Palm Springs, CA
National Provider Identifier
1386810075
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 10548 Issued in CA
Practice address
340 S Farrell Dr
Suite A110
Palm Springs, CA 92262-7963
Phone
(760) 416-0042
Fax
(760) 416-0142
NPI assigned
May 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 10548 CA Primary

Addresses

Primary practice location

340 S Farrell Dr
Suite A110
Palm Springs, CA 92262-7963

Mailing address

1019 S Harvard Blvd
Los Angeles, CA 90006-2403
Phone (626) 422-0096

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
AC 10548CAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1386810075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 S HARVARD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062403",
            "telephone_number": "626-422-0096",
            "fax_number": "626-810-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S FARRELL DR",
            "address_2": "SUITE A110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627963",
            "telephone_number": "760-416-0042",
            "fax_number": "760-416-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "SEUNG",
        "middle_name": "KUN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.