Individual provider Active NPI

Soo Hee Han, L.AC

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1881024115
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15696 Issued in CA
Practice address
5730 Beach Blvd Ste 102
Buena Park, CA 90621-2094
Phone
(714) 522-1600
Fax
(714) 522-1605
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC15696 CA Primary

Addresses

Primary practice location

5730 Beach Blvd Ste 102
Buena Park, CA 90621-2094

Mailing address

5730 Beach Blvd Ste 102
Buena Park, CA 90621-2094
Phone (714) 522-1600

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
AC15696CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupia Wellness Inc Acupuncturist Past Accepting new patients
Acupia Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1881024115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BEACH BLVD STE 102",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212094",
            "telephone_number": "714-522-1600",
            "fax_number": "714-522-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BEACH BLVD STE 102",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212094",
            "telephone_number": "714-522-1600",
            "fax_number": "714-522-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "SOO HEE",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.