Individual provider Active NPI

Hongjun Ahn

  • Acupuncturist
  • Anaheim, CA
National Provider Identifier
1780373571
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19740 Issued in CA
Practice address
1126 N Brookhurst St
Anaheim, CA 92801-1702
Phone
(714) 515-9293
NPI assigned
May 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19740 CA Primary

Addresses

Primary practice location

1126 N Brookhurst St
Anaheim, CA 92801-1702

Mailing address

11733 Citra Cir
Whittier, CA 90601-2178
Phone (714) 515-9293

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

LicenseStateTypeSpecialty
19740CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge to a Dream Inc. CurrentSince Jun 8, 2025 Accepting new patients

Locations

1126 N Brookhurst St
Anaheim, CA 92801
Phone (714) 515-9293

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1780373571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11733 CITRA CIR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906012178",
            "telephone_number": "714-515-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N BROOKHURST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011702",
            "telephone_number": "714-515-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "HONGJUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-05",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.