Individual provider Active NPI

Sung Won Han

  • Acupuncturist
  • Anaheim, CA
National Provider Identifier
1952565244
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC. 12401 Issued in CA
Practice address
421 N Brookhurst St Ste 218
Anaheim, CA 92801-5619
Phone
(657) 201-9444
Fax
(747) 300-0071
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC. 12401 CA Primary

Addresses

Primary practice location

421 N Brookhurst St Ste 218
Anaheim, CA 92801-5619

Mailing address

5590 Elsinore Ave
Buena Park, CA 90621-1356
Phone (213) 219-1758

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
LAC. 12401CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
SW Healthmanagement Inc. Acupuncturist CurrentSince Mar 12, 2024 Accepting new patients

Locations

421 N Brookhurst St
Ste 218
Anaheim, CA 92801
Phone (714) 726-9955

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1952565244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 ELSINORE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211356",
            "telephone_number": "213-219-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 218",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015619",
            "telephone_number": "657-201-9444",
            "fax_number": "747-300-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "SUNG WON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "LAC. 12401",
            "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 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.