Active NPI
Joon Soo Han, L.AC.
- Acupuncturist
- Canyon Country, CA
National Provider Identifier
1689016222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4268
- Practice address
- 18168 Sundowner Way Unit 1023
Canyon Country, CA 91387-4383 - Phone
- (213) 500-7239
- Fax
- (877) 234-2675
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4268 | CA | Primary |
Addresses
Primary practice location
18168 Sundowner Way Unit 1023
Canyon Country, CA 91387-4383
Mailing address
18168 Sundowner Way Unit 1023
Canyon Country, CA 91387-4383
Phone (213) 500-7239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC4268 | Other | CA | ACUPUNCTURE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC4268 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1689016222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18168 SUNDOWNER WAY UNIT 1023",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913874383",
"telephone_number": "213-500-7239",
"fax_number": "877-234-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18168 SUNDOWNER WAY UNIT 1023",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913874383",
"telephone_number": "213-500-7239",
"fax_number": "877-234-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "JOON SOO",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "AC4268",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canyon Country, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.