Individual provider Active NPI

Jung Hoon Ahn, ACUPUNCTURIST

  • Acupuncturist
  • Long Beach, CA
National Provider Identifier
1932274909
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC0090520 Issued in CA
Practice address
500 W Willow St
# 9
Long Beach, CA 90806-2831
Phone
(562) 981-7030
Fax
(562) 981-7040
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC0090520 CA Primary

Addresses

Primary practice location

500 W Willow St
# 9
Long Beach, CA 90806-2831

Mailing address

500 W Willow St
# 9
Long Beach, CA 90806-2831
Phone (562) 981-7030

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
AC0090520CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932274909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WILLOW ST",
            "address_2": "# 9",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062831",
            "telephone_number": "562-981-7030",
            "fax_number": "562-981-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILLOW ST",
            "address_2": "# 9",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062831",
            "telephone_number": "562-981-7030",
            "fax_number": "562-981-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "JUNG",
        "middle_name": "HOON",
        "name_prefix": "Mr.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC0090520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.