Joo Dong Ahn, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC5018 Issued in CA

Practice address

36945 Cook St Ste 103
Palm Desert, CA 92211-6077

Phone

(800) 385-1130

NPI assigned

Apr 5, 2022

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1598406498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46265 PALOMINO RD",
            "city": "AGUANGA",
            "state": "CA",
            "postal_code": "925369515",
            "telephone_number": "714-883-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36945 COOK ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116077",
            "telephone_number": "800-385-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "JOO DONG",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Agnew, PA-C
• Arianna D Aguilar, HIGH SCHOOL DIPLOMA
• Marcela Aguilera Camacho
• Sohail S Ahmad, MD
• Harris Ahmed, DO, MPH
• Ahpc Palm Desert, Inc. (Allied Hospice & Palliative Care)
• Alison Ahrens, SLPA
• Rita Aikey, R.N.
• Amy Aispuro
• Princess Ajibola

• Acupuncturist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.