Individual provider Active NPI

Dong Gwon Han, DC, DAOM, LAC

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1447801626
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12935 Issued in CA
Practice address
6122 Orangethorpe Ave Ste 107
Buena Park, CA 90620-1343
Phone
(714) 724-5786
Fax
(714) 463-1568
NPI assigned
Sep 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 12935 CA Primary

Addresses

Primary practice location

6122 Orangethorpe Ave Ste 107
Buena Park, CA 90620-1343

Mailing address

6122 Orangethorpe Ave Ste 107
Buena Park, CA 90620-1343
Phone (714) 724-5786

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
DC36749CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chesimjung Acuchiro Chiropractor CurrentSince Apr 14, 2024 Accepting new patients
Irvine Healthcare Acupuncture, Inc. Acupuncturist PastSince Jul 24, 2022 Accepting new patients

Locations

6122 Orangethorpe Ave
Ste 107
Buena Park, CA 90620

1144 S Western Ave
Ste 207
Los Angeles, CA 90006
Phone (310) 935-8703

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1447801626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 ORANGETHORPE AVE STE 107",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201343",
            "telephone_number": "714-724-5786",
            "fax_number": "714-463-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 ORANGETHORPE AVE STE 107",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201343",
            "telephone_number": "714-724-5786",
            "fax_number": "714-463-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "DONG GWON",
        "credential": "DC, DAOM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.