Kan Ju Han, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC19367 Issued in CA

Practice address

29950 Haun Rd Ste 203
Menifee, CA 92586-6527

Phone

(951) 878-5822

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tali Acupuncture Inc.

  dba Tali Chang

  • Acupuncturist
  • Menifee, CA
  • NPI 1588351126
  NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1689379190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29950 HAUN RD STE 203",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866527",
            "telephone_number": "162-645-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29950 HAUN RD STE 203",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866527",
            "telephone_number": "951-878-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "KAN JU",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammy Jo Hallis, MS, CCC-SLP
• Ghazi Hamati
• Jaelon Brandon Hamilton
• Jason Daniel Hamilton, PA
• Melissa Hamilton, NP
• Miho Hanaoka
• Pamela E Harkins, CRT
• Jacy E Harman
• Sarah Jane Harmon, D.P.T.
• Jennay Nicole Harrison

• Acupuncturist in Menifee, CA
• Providers in Menifee, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.