Deok Hee Ahn, LAC.

Individual provider Active NPI Acupuncturist · San Marino, CA

NPI 1467656165 · NPPES record last updated Jul 11, 2018

Key facts

NPI
1467656165
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
11129 (CA)
Practice address
2343 Huntington Dr
San Marino, CA 91108
Phone
(626) 590-5577
Fax
(626) 463-1263
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

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
11129CAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11129 CA Yes

Addresses

Primary practice location

2343 Huntington Dr
San Marino, CA 91108

Mailing address

2343 Huntington Dr
San Marino, CA 91108-2642
Phone (626) 590-5577

Other practice location 1

822 S Robertson Blvd
105
Los Angeles, CA 90035-1613
Phone (310) 854-7788

Other practice location 2

768 Linda Vista Ave
Pasadena, CA 91103-2769
Phone (626) 590-5577

Other providers in San Marino, CA

All providers in San Marino, CA · Acupuncturist in California

Sources for this page

Verify at the official NPI Registry.