Glen Suh, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 12916 Issued in CA

Practice address

1039 Foothill Blvd # a
La Canada, CA 91011-3249

Phone

(818) 288-6604

NPI assigned

Sep 29, 2009

Last updated

Sep 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1548594104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 FOOTHILL BLVD # A",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113249",
            "telephone_number": "818-288-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 FOOTHILL BLVD # A",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113249",
            "telephone_number": "818-288-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 12916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Lynn Stein
• Susan Jo Stein, M.D.
• Sona A. Stevens, L.AC.
• Duncan Ross Still
• Christy Suh, LEP
• Symphony Hospice, Inc.
• T Ghotanian DDS
• Peony Crystal Tam-Suarez, O.D.
• Annette Tamraz, P.T.
• Anna J Tang, PHARM.D.

• Acupuncturist in La Canada, CA
• Providers in La Canada, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.